Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00727 | Date 27/08/2018 |
| Token No | SM/21-22/1199 06/05/2021 | Serial | 026 Last Visit: 05/09/2022 |
| Patient Name | Mr. NILMANI SAHA | Contact No | 8017641647 |
| Address | 12 RAY GHAT LANE, SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||