Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07171 | Date 16/12/2019 |
| Token No | SM/21-22/153 05/04/2021 | Serial | 066 Last Visit: 15/12/2022 |
| Patient Name | Mr. DILIP DAS | Contact No | 8240631259 |
| Address | 41 BAHIR SERAMPORE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||