Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10087 | Date 15/09/2021 |
| Token No | SM/21-22/5108 15/09/2021 | Serial | 017 Last Visit: 28/09/2022 |
| Patient Name | Mr. JAGADISH BHATTACHARJEE | Contact No | 9836406196 |
| Address | JAGADDHARITALA LANE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||