Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09618 | Date 17/05/2021 |
| Token No | SM/21-22/1446 17/05/2021 | Serial | 031 Last Visit: 17/05/2021 |
| Patient Name | Mr. DEBKUMAR DEY | Contact No | 7686882231 |
| Address | RAMRISHNA ROAD BAIDHYABATI | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||