Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09148 | Date 08/01/2021 |
| Token No | SM/20-21/29199 08/01/2021 | Serial | 037 Last Visit: 29/06/2022 |
| Patient Name | Mr. AJIT DEY | Contact No | 8617756113 |
| Address | 9 CHURCH STREET SERAMPORE | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||