Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09716 | Date 14/06/2021 |
| Token No | SM/21-22/2214 14/06/2021 | Serial | 006 Last Visit: 25/06/2021 |
| Patient Name | Mr. NEMAYI MONDOL | Contact No | 7449960098 |
| Address | PIARAPUR SHEORAPHULI | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||