Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11960 | Date 10/03/2023 |
| Token No | SM/22-23/20541 10/03/2023 | Serial | 027 Last Visit: 10/03/2023 |
| Patient Name | Mr. NIRMAL DHAR | Contact No | 7686027808 |
| Address | 430 G T ROAD BOWBAZAR, BAIDYABATI (M) | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||