Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08351 | Date 15/06/2020 |
| Token No | SM/19-20/23092 15/06/2020 | Serial | 014 Last Visit: 23/05/2022 |
| Patient Name | Mr. TUSHAR KOIRI | Contact No | 6290053658 |
| Address | 21 LBS ROAD SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||