Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09402 | Date 26/03/2021 |
| Token No | SM/20-21/31239 26/03/2021 | Serial | 050 Last Visit: 26/03/2021 |
| Patient Name | Mr. PRASENJIT ACHARYYA | Contact No | 8420207361 |
| Address | 30,AKRA BATI LANE, SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||