Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11248 | Date 08/07/2022 |
| Token No | SM/22-23/14459 08/07/2022 | Serial | 036 Last Visit: 08/07/2022 |
| Patient Name | Mr. PRATIMA MANNA | Contact No | 9051865676 |
| Address | 23 CHAKRABORTY LANE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||