Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02813 | Date 04/01/2019 |
| Token No | SM/21-22/1964 07/06/2021 | Serial | 003 Last Visit: 08/06/2021 |
| Patient Name | Mr. RAJKUMAR CHAKRABORTY | Contact No | 9883443146 |
| Address | 4, ROY GHAT LANE | Age | 42 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||