Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07804 | Date 16/03/2020 |
| Token No | SM/21-22/3052 09/07/2021 | Serial | 032 Last Visit: 09/07/2021 |
| Patient Name | Mr. SUROJIT ADGIRI | Contact No | 9433321498 |
| Address | 486/320 G.T ROAD , BAIDYABATI(M) | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||