Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08730 | Date 10/09/2020 |
| Token No | SM/20-21/26425 07/10/2020 | Serial | 028 Last Visit: 21/08/2021 |
| Patient Name | Mr. RONIT GHOSH | Contact No | 6291744230 |
| Address | 18 BENIAPARA LANE SERAMPORE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||