Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08113 | Date 20/04/2020 |
| Token No | SM/21-22/1526 19/05/2021 | Serial | 003 Last Visit: 19/05/2021 |
| Patient Name | Mr. SUBHENDU BHUIYA | Contact No | |
| Address | 5 K .K .SARANI LANE | Age | 50 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||