Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09552 | Date 29/04/2021 |
| Token No | SM/21-22/978 29/04/2021 | Serial | 024 Last Visit: 14/03/2022 |
| Patient Name | Mr. NIZAMUDDIN MALLIK | Contact No | 8101761496 |
| Address | SINGUR | Age | 27YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||