Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09141 | Date 07/01/2021 |
| Token No | SM/20-21/29312 13/01/2021 | Serial | 035 Last Visit: 18/01/2021 |
| Patient Name | Mr. KRISHNA KUMAR BARI | Contact No | 8013109561 |
| Address | 2 BANGALAKSHI KATON MILLS ROAD SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||