Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08604 | Date 30/07/2020 |
| Token No | SM/21-22/2013 08/06/2021 | Serial | 015 Last Visit: 08/06/2021 |
| Patient Name | Mr. BIJOY GHOSH | Contact No | 9007783020 |
| Address | 15 N. N. ROY STREET | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||