Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09778 | Date 30/06/2021 |
| Token No | SM/21-22/2718 30/06/2021 | Serial | 024 Last Visit: 06/01/2022 |
| Patient Name | Mr. PRASENJIT DAS | Contact No | 8910251473 |
| Address | BAIDHYABATI | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||