Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09038 | Date 10/12/2020 |
| Token No | SM/21-22/5998 18/10/2021 | Serial | 034 Last Visit: 30/11/2021 |
| Patient Name | Mr. SHANKAR GUHA | Contact No | 8697462911 |
| Address | 8 A CHOWDHURY PARA BAGLANE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||