Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10023 | Date 01/09/2021 |
| Token No | SM/21-22/4635 01/09/2021 | Serial | 033 Last Visit: 16/09/2021 |
| Patient Name | Mr. PRIYANGSHU CHAKRABORTY | Contact No | 8910771203 |
| Address | 6/35 A, NETAJI NAGAR | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||