Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10391 | Date 07/12/2021 |
| Token No | SM/21-22/7530 07/12/2021 | Serial | 026 Last Visit: 07/12/2021 |
| Patient Name | Mr. AJAY BAIDHYA | Contact No | 6291948416 |
| Address | PAMPA NAGAR CHATRA SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||