Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06316 | Date 03/09/2019 |
| Token No | SM/19-20/22529 29/05/2020 | Serial | 001 Last Visit: 16/08/2021 |
| Patient Name | Mr. MADHAB CHANDRA MAITY | Contact No | |
| Address | 24, MUKHERJEE PARA CHATRA SERAMPORE | Age | 86 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||