Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08153 | Date 27/04/2020 |
| Token No | SM/21-22/8132 27/12/2021 | Serial | 024 Last Visit: 29/12/2021 |
| Patient Name | Mr. RAMESH SHAW | Contact No | 8777372610 |
| Address | 307/79 RAM KRISHNA ROAD,BAIDYABATI(M) | Age | 17 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||