Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09519 | Date 22/04/2021 |
| Token No | SM/21-22/1678 24/05/2021 | Serial | 056 Last Visit: 24/05/2021 |
| Patient Name | Mr. TAPAS KUMAR CHANDRA | Contact No | 9874369217 |
| Address | 32/U,DOCTOR BAGAN LANE SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||