Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09745 | Date 24/06/2021 |
| Token No | SM/21-22/4267 23/08/2021 | Serial | 011 Last Visit: 02/12/2021 |
| Patient Name | Mr. JOGI DAS | Contact No | 9831875600 |
| Address | 42/B BARA BAGAN LANE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||