Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03028 | Date 16/01/2019 |
| Token No | SM/21-22/4976 11/09/2021 | Serial | 005 Last Visit: 16/12/2021 |
| Patient Name | Mr. RABI MONDAL | Contact No | 9836324527 |
| Address | 58 CHATRA DUTTA PARA | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||