Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10189 | Date 08/10/2021 |
| Token No | SM/21-22/5890 08/10/2021 | Serial | 012 Last Visit: 08/10/2021 |
| Patient Name | Mr. DILIP KUMAR BANERJEE | Contact No | 9330034708 |
| Address | BAIDHYABATI | Age | 66 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||