Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09404 | Date 26/03/2021 |
| Token No | SM/20-21/31246 26/03/2021 | Serial | 057 Last Visit: 26/03/2021 |
| Patient Name | Mr. KARTIK DHARA | Contact No | 7990235924 |
| Address | 21/A BARA BAGAN LANE,SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||