Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09155 | Date 11/01/2021 |
| Token No | SM/20-21/29806 27/01/2021 | Serial | 030 Last Visit: 22/02/2022 |
| Patient Name | Mr. BINOY SENGUPTA | Contact No | 9433897445 |
| Address | 54/A G T ROAD WEST RISHRA | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||