Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09023 | Date 04/12/2020 |
| Token No | SM/21-22/1699 25/05/2021 | Serial | 006 Last Visit: 30/10/2021 |
| Patient Name | Mr. DHANANJOY KRMAKAR | Contact No | 9143063120 |
| Address | DEY PARA PAHALAMPUR , SINGUR | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||