Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09479 | Date 19/04/2021 |
| Token No | SM/21-22/5081 14/09/2021 | Serial | 017 Last Visit: 14/09/2021 |
| Patient Name | Mr. SAIKAT DAS | Contact No | 8967222108 |
| Address | BAIDHYABATI | Age | 30YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||