Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03230 | Date 30/01/2019 |
| Token No | SM/21-22/3495 26/07/2021 | Serial | 019 Last Visit: 09/11/2021 |
| Patient Name | Mr. SOHAN GUIN | Contact No | 9836709326 |
| Address | 7 A CHOWDHURI PARA BY LANE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||