Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09590 | Date 06/05/2021 |
| Token No | SM/21-22/5480 25/09/2021 | Serial | 019 Last Visit: 26/10/2021 |
| Patient Name | Mr. PULAK PAL | Contact No | 9830363963 |
| Address | 37 KUMAR PARA LANE SERAMPORE, CHATRA | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||