Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09207 | Date 22/01/2021 |
| Token No | SM/20-21/29711 22/01/2021 | Serial | 066 Last Visit: 06/07/2021 |
| Patient Name | Mr. SUJIT KUMAR SAHA | Contact No | 8927044821 |
| Address | 46/B KUMIR JALA ROAD SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/110 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||