Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10386 | Date 04/12/2021 |
| Token No | SM/21-22/7478 04/12/2021 | Serial | 030 Last Visit: 04/12/2021 |
| Patient Name | Mr. TABARAK MOLLICK | Contact No | 9681380682 |
| Address | KESHPUR, ARAMBAGH | Age | 69 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||