Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00804 | Date 29/08/2018 |
| Token No | SM/18-19/1010 29/08/2018 | Serial | 016 Last Visit: 28/05/2022 |
| Patient Name | Mr. SOUVIK PANDA | Contact No | 9433125738 |
| Address | SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||