Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11106 | Date 08/06/2022 |
| Token No | SM/22-23/13345 08/06/2022 | Serial | 035 Last Visit: 08/06/2022 |
| Patient Name | Mr. TANMAY HAZRA | Contact No | 9564622220 |
| Address | CHATRA KUMAR PARA | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||