Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04053 | Date 07/03/2019 |
| Token No | SM/20-21/26192 01/10/2020 | Serial | 018 Last Visit: 03/11/2021 |
| Patient Name | Mr. SUMITRA KUMAR DUTTA | Contact No | 9143137589 |
| Address | CHATRA GHOSH PARA SERAMPORE | Age | 56 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||