Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08326 | Date 10/06/2020 |
| Token No | SM/19-20/22917 10/06/2020 | Serial | 002 Last Visit: 05/01/2022 |
| Patient Name | Mr. SUROJIT KUMAR BAG | Contact No | 9511194129 |
| Address | 16 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||