Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09096 | Date 26/12/2020 |
| Token No | SM/22-23/11377 04/04/2022 | Serial | 051 Last Visit: 02/05/2022 |
| Patient Name | Mr. SUNIRMAL BHATTACHARYA | Contact No | 8582800959 |
| Address | 23 PURBACHAL PALLY , CHAMPADANI(M), ANGUS SINGUR | Age | 75 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||