Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07527 | Date 13/02/2020 |
| Token No | SM/19-20/17992 13/02/2020 | Serial | 011 Last Visit: 17/07/2021 |
| Patient Name | Mr. JAYA MALAKAR | Contact No | 7980378030 |
| Address | 3 M.G ROAD SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||