Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08772 | Date 24/09/2020 |
| Token No | SM/21-22/1470 17/05/2021 | Serial | 055 Last Visit: 06/09/2021 |
| Patient Name | Mr. SK BECHU | Contact No | 8017858752 |
| Address | 7 MUSALMAN PARA LANE SERAMPORE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||