Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01276 | Date 22/09/2018 |
| Token No | SM/21-22/1936 04/06/2021 | Serial | 031 Last Visit: 04/06/2021 |
| Patient Name | Mr. SANJOY CHOWDHURI | Contact No | 9007226251 |
| Address | 663 G T ROAD | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||