Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10393 | Date 08/12/2021 |
| Token No | SM/21-22/7553 08/12/2021 | Serial | 007 Last Visit: 08/12/2021 |
| Patient Name | Mr. PARTHA MANNA | Contact No | 9007462311 |
| Address | 16/A CHAKRABORTY LANE | Age | 46 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||