Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10274 | Date 15/11/2021 |
| Token No | SM/21-22/7029 22/11/2021 | Serial | 069 Last Visit: 22/11/2021 |
| Patient Name | Mr. ARUN AONE | Contact No | 8478820062 |
| Address | 44,GODAR BAGAN,BAIDYABATI,(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||