Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10925 | Date 13/04/2022 |
| Token No | SM/22-23/11711 13/04/2022 | Serial | 026 Last Visit: 24/05/2022 |
| Patient Name | Mr. SANJOY DAS | Contact No | 9804609989 |
| Address | 43 KHAS BAGAN LANE BAIDYABATI(M) SHEORAPHULI | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||