Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01670 | Date 13/10/2018 |
| Token No | SM/21-22/932 27/04/2021 | Serial | 050 Last Visit: 27/04/2021 |
| Patient Name | Mr. PRABIR PATRA | Contact No | |
| Address | BARUIPARA | Age | 42 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||