Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07185 | Date 19/12/2019 |
| Token No | SM/21-22/9095 19/01/2022 | Serial | 001 Last Visit: 16/09/2022 |
| Patient Name | Mr. BIJOY SINGHA | Contact No | 8276827816 |
| Address | 137 GT ROAD BOWBAZAR , BAIDYABATI(M) | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||