Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09477 | Date 19/04/2021 |
| Token No | SM/21-22/1022 30/04/2021 | Serial | 016 Last Visit: 30/04/2021 |
| Patient Name | Mr. RANJIT DAS | Contact No | 8420794148 |
| Address | 40/C,BARA BAGAN LANE,SERAMPORE | Age | 85 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||