Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10972 | Date 02/05/2022 |
| Token No | SM/22-23/12160 02/05/2022 | Serial | 036 Last Visit: 02/05/2022 |
| Patient Name | Mr. AMITABHA | Contact No | 9433764700 |
| Address | BALLY | Age | 58 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||