Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10076 | Date 11/09/2021 |
| Token No | SM/21-22/5009 11/09/2021 | Serial | 038 Last Visit: 21/09/2021 |
| Patient Name | Mr. BASUDAM DUTTA | Contact No | 8479937447 |
| Address | PASCHIMSAI, KOTBAR, PURBA MEDINIPUR, 721429 | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||