Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06957 | Date 22/11/2019 |
| Token No | SM/20-21/27060 02/11/2020 | Serial | 055 Last Visit: 12/11/2022 |
| Patient Name | Mr. RISHAB DUTTA | Contact No | 8240299027 |
| Address | CHATRA DUTTA PARA LANE CHATRA SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||