Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10159 | Date 30/09/2021 |
| Token No | SM/21-22/5619 30/09/2021 | Serial | 002 Last Visit: 30/09/2021 |
| Patient Name | Mr. SOUMAYK DEY | Contact No | 9088431759 |
| Address | 5 VIVEKANANDA LANE, | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||