Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10797 | Date 14/03/2022 |
| Token No | SM/22-23/11466 06/04/2022 | Serial | 017 Last Visit: 06/04/2022 |
| Patient Name | Mr. JOYDEB SHEE | Contact No | 9831433478 |
| Address | 122/C N.K. BANERJEE STREET RISHRA | Age | 81 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||