Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08983 | Date 18/11/2020 |
| Token No | SM/22-23/11371 04/04/2022 | Serial | 045 Last Visit: 19/07/2022 |
| Patient Name | Mr. JOYDEB DUTTA | Contact No | 7890278739 |
| Address | 124/1 (39G/B) G T ROAD NABAGRAM , BAIDYABATI(M) | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||