Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06903 | Date 19/11/2019 |
| Token No | SM/19-20/13522 19/11/2019 | Serial | 019 Last Visit: 10/09/2022 |
| Patient Name | Mr. PRAHLAD SINGH | Contact No | 8017241822 |
| Address | 14 DAKSHIN BHATTACHARJEE PARA CHATRA SERAMPORE | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||