Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10487 | Date 03/01/2022 |
| Token No | SM/21-22/8889 13/01/2022 | Serial | 022 Last Visit: 13/01/2022 |
| Patient Name | Mr. TAPAN PATRA | Contact No | |
| Address | PAHALAMPUR | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||