Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09114 | Date 30/12/2020 |
| Token No | SM/20-21/28918 30/12/2020 | Serial | 023 Last Visit: 07/06/2022 |
| Patient Name | Mr. SUBRTA KARMOKAR | Contact No | 9088070566 |
| Address | 2/B SIDHESWARI LANE CHATRA SERAMPORE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||