Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10150 | Date 28/09/2021 |
| Token No | SM/21-22/5769 05/10/2021 | Serial | 020 Last Visit: 05/10/2021 |
| Patient Name | Mr. PRAKSH CHANDRA ROY | Contact No | 9804935828 |
| Address | 240 MAHESH COLONY | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||