Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05493 | Date 20/06/2019 |
| Token No | SM/21-22/990 29/04/2021 | Serial | 036 Last Visit: 29/04/2021 |
| Patient Name | Mr. GAUTAM SARKAR | Contact No | 9681456590 |
| Address | SIRAMPUR TALPUKAR RAJDHARPUR | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||