Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10638 | Date 08/02/2022 |
| Token No | SM/21-22/9815 12/02/2022 | Serial | 008 Last Visit: 12/02/2022 |
| Patient Name | Mr. PRADIP KUMAR GHOSH | Contact No | 8820608810 |
| Address | DAKSHIN RAJAYADHAPUR, | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||