Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09663 | Date 31/05/2021 |
| Token No | SM/21-22/1821 31/05/2021 | Serial | 030 Last Visit: 31/05/2021 |
| Patient Name | Mr. BISWAJIT DAS | Contact No | 8016057367 |
| Address | BANIPUR, HOOGHLY | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||