Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08915 | Date 29/10/2020 |
| Token No | SM/20-21/26978 29/10/2020 | Serial | 005 Last Visit: 28/06/2022 |
| Patient Name | Mr. KIRITI BHUSON MANDAL | Contact No | 9477997513 |
| Address | 32/16, DOCTOR BAGAN LANE SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||