Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10392 | Date 07/12/2021 |
| Token No | SM/21-22/7533 07/12/2021 | Serial | 029 Last Visit: 07/12/2021 |
| Patient Name | Mr. KRISHNA SARDAR | Contact No | 9007680896 |
| Address | 21,BHATTACHARJEE GARDEN LANE | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||