Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09919 | Date 09/08/2021 |
| Token No | SM/21-22/3858 09/08/2021 | Serial | 008 Last Visit: 09/08/2021 |
| Patient Name | Mr. NANDA DAS | Contact No | 7449927701 |
| Address | CHATRA DAS PARA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||