Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08970 | Date 12/11/2020 |
| Token No | SM/20-21/27511 12/11/2020 | Serial | 017 Last Visit: 29/09/2023 |
| Patient Name | Mr. PRIYANSHU ROY | Contact No | 8420280402 |
| Address | 7, LAHIRIPARA CHATRA SERAMPORE | Age | 20 Years,6 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||