Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08852 | Date 12/10/2020 |
| Token No | SM/21-22/1042 30/04/2021 | Serial | 036 Last Visit: 23/06/2021 |
| Patient Name | Mr. SWAPAN ACHARYYA | Contact No | 8420207361 |
| Address | 30 AKRA BATI LANE SERAMPORE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||