Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10491 | Date 03/01/2022 |
| Token No | SM/21-22/8429 03/01/2022 | Serial | 067 Last Visit: 03/01/2022 |
| Patient Name | Mr. RAJESH GHOSH | Contact No | 6290643925 |
| Address | KOREGRAM | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||