Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09748 | Date 24/06/2021 |
| Token No | SM/21-22/2520 24/06/2021 | Serial | 021 Last Visit: 24/06/2021 |
| Patient Name | Mr. MITHUN RAJBHAR | Contact No | 8100197058 |
| Address | 27/A BAZAR BYE LANE SERAMPORE | Age | 32 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||