Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09585 | Date 05/05/2021 |
| Token No | SM/21-22/1165 05/05/2021 | Serial | 024 Last Visit: 05/05/2021 |
| Patient Name | Mr. SUBHOJIT NANDI | Contact No | 9830877765 |
| Address | 41,CHATRA DUTTA PARA LANE SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||