Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04761 | Date 18/04/2019 |
| Token No | SM/19-20/24323 22/07/2020 | Serial | 001 Last Visit: 22/07/2020 |
| Patient Name | Mr. MALOY DUTTA | Contact No | 9831765628 |
| Address | CHATRA MUKHERJEE PARA SERAMPORE | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||