Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08804 | Date 01/10/2020 |
| Token No | SM/21-22/1604 21/05/2021 | Serial | 020 Last Visit: 21/05/2021 |
| Patient Name | Mr. SURAJIT PAL | Contact No | 9681778934 |
| Address | 38/A CHATRA KUMAR PARA | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||