Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07980 | Date 31/03/2020 |
| Token No | SM/21-22/6473 01/11/2021 | Serial | 006 Last Visit: 01/11/2021 |
| Patient Name | Mr. KALIPADA RUIDAS | Contact No | 9230307337 |
| Address | 57/33 HARIJAN ROAD,BAIDYABATI(M) | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||