Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09957 | Date 18/08/2021 |
| Token No | SM/21-22/5719 04/10/2021 | Serial | 040 Last Visit: 17/03/2022 |
| Patient Name | Mr. MD LLIAS | Contact No | 9748523767 |
| Address | MOLLASIMLA HOOGHLY, | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||