Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02562 | Date 17/12/2018 |
| Token No | SM/21-22/5936 09/10/2021 | Serial | 009 Last Visit: 11/11/2022 |
| Patient Name | Mr. AMITABHA DHARA | Contact No | 8697639667 |
| Address | BARUIPARA, SINGUR | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||