Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10342 | Date 27/11/2021 |
| Token No | SM/21-22/7229 27/11/2021 | Serial | 005 Last Visit: 27/11/2021 |
| Patient Name | Mr. KRISHANU DAS | Contact No | 8961444950 |
| Address | 3/C GHOSH PARA 1ST LANE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||