Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08942 | Date 06/11/2020 |
| Token No | SM/21-22/4057 14/08/2021 | Serial | 016 Last Visit: 24/08/2021 |
| Patient Name | Mr. SUMAN DAS | Contact No | 9851234102 |
| Address | CHARJIJIRA BARABAZAR GHAT STREET , SHANTIPUR, NADIA | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||