Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10365 | Date 30/11/2021 |
| Token No | SM/21-22/7348 30/11/2021 | Serial | 028 Last Visit: 30/11/2021 |
| Patient Name | Mr. SWARUP TRIPATHY | Contact No | 8967668050 |
| Address | BOROBELUR SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||