Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09787 | Date 05/07/2021 |
| Token No | SM/21-22/3485 26/07/2021 | Serial | 009 Last Visit: 26/07/2021 |
| Patient Name | Mr. RAM CHANDRA GHOSAL | Contact No | 8336940801 |
| Address | 88 NETAJI SUHBHAS AVENUE | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||