Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09110 | Date 29/12/2020 |
| Token No | SM/20-21/29534 19/01/2021 | Serial | 028 Last Visit: 02/02/2021 |
| Patient Name | Mr. SUKUMAR MAITY | Contact No | 7980969633 |
| Address | 18/C BARA BAGAN LANE SERAMPORE MALLICKPARA | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||