Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09504 | Date 22/04/2021 |
| Token No | SM/21-22/671 22/04/2021 | Serial | 006 Last Visit: 22/04/2021 |
| Patient Name | Mr. NIHAR KANTI GHOSH | Contact No | 9674346935 |
| Address | 43/1/B CHATRA MUKHERJEE PARA BAIDYABATI M | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||