Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06484 | Date 20/09/2019 |
| Token No | SM/19-20/20614 01/04/2020 | Serial | 036 Last Visit: 11/06/2022 |
| Patient Name | Mr. SK MANSUR | Contact No | 9903513087 |
| Address | 29 CHATRA A.K DUTTA SARANI SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||