Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03425 | Date 07/02/2019 |
| Token No | SM/21-22/7321 30/11/2021 | Serial | 001 Last Visit: 30/11/2021 |
| Patient Name | Mr. NILRATAN DUTTA | Contact No | |
| Address | 9 CHATRA BARUI PARA LANE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||