Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09248 | Date 27/02/2021 |
| Token No | SM/21-22/10622 09/03/2022 | Serial | 006 Last Visit: 06/04/2023 |
| Patient Name | Mr. KRISHNA BHATTCHARYA | Contact No | 7059531074 |
| Address | 6/C THAKUR DAS BABU LANE SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||