Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11270 | Date 15/07/2022 |
| Token No | SM/22-23/14627 15/07/2022 | Serial | 009 Last Visit: 19/07/2022 |
| Patient Name | Mr. RIKKI HELA | Contact No | 8981247334 |
| Address | 5 K.M. BHATTACHARJEE STREET | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||