Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09655 | Date 25/05/2021 |
| Token No | SM/21-22/1719 25/05/2021 | Serial | 026 Last Visit: 25/05/2021 |
| Patient Name | Mr. RANJIT DAS | Contact No | |
| Address | 40/C BARA BAGAN LANE SERAMPORE | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||