Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07209 | Date 21/12/2019 |
| Token No | SM/19-20/17641 05/02/2020 | Serial | 017 Last Visit: 09/07/2021 |
| Patient Name | Mr. SANDIP DAS | Contact No | 6289042525 |
| Address | 1/7 BHADURI LANE CHATRA SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||