Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10379 | Date 04/12/2021 |
| Token No | SM/21-22/7450 04/12/2021 | Serial | 002 Last Visit: 21/07/2022 |
| Patient Name | Mr. MD BADSHA GANI | Contact No | 9007967852 |
| Address | 121,A.P. GHOSH ROAD | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||