Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09341 | Date 18/03/2021 |
| Token No | SM/20-21/30874 18/03/2021 | Serial | 022 Last Visit: 25/06/2021 |
| Patient Name | Mr. JAGANNATH GHOSH | Contact No | 9903349152 |
| Address | K.M SHA STREET SERAMPORE | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||