Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09259 | Date 01/03/2021 |
| Token No | SM/21-22/6336 28/10/2021 | Serial | 002 Last Visit: 08/09/2022 |
| Patient Name | Mr. KANAI NATH | Contact No | |
| Address | 123/A SATCHASHI PARA,BAIDYABATI(M) | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||