Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09395 | Date 25/03/2021 |
| Token No | SM/20-21/31187 25/03/2021 | Serial | 045 Last Visit: 25/03/2021 |
| Patient Name | Mr. DIPAK DEBNATH | Contact No | 9841602116 |
| Address | 107/E POTUAPARA LANE SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||