Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09422 | Date 03/04/2021 |
| Token No | SM/21-22/86 03/04/2021 | Serial | 039 Last Visit: 13/01/2023 |
| Patient Name | Mr. ATIN DUTTA | Contact No | 8336872921 |
| Address | 125,BARUI PARA CHATRA | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||