Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10704 | Date 21/02/2022 |
| Token No | SM/21-22/10822 16/03/2022 | Serial | 010 Last Visit: 16/03/2022 |
| Patient Name | Mr. ALOK DEY | Contact No | 9875411705 |
| Address | GHOSAL PARA NABAGRAM BAIDYABATI (M) HOOGHLY | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||