Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02407 | Date 07/12/2018 |
| Token No | SM/21-22/3343 22/07/2021 | Serial | 020 Last Visit: 22/07/2021 |
| Patient Name | Mr. PRADIP MAZUMDAR | Contact No | 9681331941 |
| Address | 170 N.S. AVENUE | Age | 40 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||