Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10113 | Date 22/09/2021 |
| Token No | SM/21-22/5355 22/09/2021 | Serial | 031 Last Visit: 19/01/2022 |
| Patient Name | Mr. SANKAR SADHUKHAN | Contact No | 9433234788 |
| Address | BAIDYA PARA, BAIDYABATI (M) | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||