Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10559 | Date 14/01/2022 |
| Token No | SM/21-22/10550 07/03/2022 | Serial | 014 Last Visit: 30/01/2023 |
| Patient Name | Mr. SANDIP CHATTERJEE | Contact No | 6289365553 |
| Address | 54/A DHARMATALA LANE CHATRA SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||