Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11356 | Date 28/07/2022 |
| Token No | SM/22-23/15137 28/07/2022 | Serial | 035 Last Visit: 18/08/2022 |
| Patient Name | Mr. SUDIP ADAK | Contact No | 7003681507 |
| Address | 164/A N.S. AVENUE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||