Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10318 | Date 22/11/2021 |
| Token No | SM/21-22/7002 22/11/2021 | Serial | 042 Last Visit: 05/11/2022 |
| Patient Name | Mr. GOBARDHAN PARUI | Contact No | 9002897525 |
| Address | 44,SATCHASI PARA BAIDHYABATI | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||