Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10195 | Date 08/10/2021 |
| Token No | SM/21-22/5989 18/10/2021 | Serial | 025 Last Visit: 18/10/2021 |
| Patient Name | Mr. LAKSHMAN PAL | Contact No | 8420705500 |
| Address | 105/D/4 G.T ROAD CHATRA BAIDHYABATI | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||