Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10133 | Date 25/09/2021 |
| Token No | SM/21-22/5488 25/09/2021 | Serial | 027 Last Visit: 17/01/2022 |
| Patient Name | Mr. SUBHANGKAR HAZRA | Contact No | 9875562327 |
| Address | 280/D NABAGRAM BAIDHYABATI | Age | 19 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||