Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09659 | Date 29/05/2021 |
| Token No | SM/21-22/1782 29/05/2021 | Serial | 021 Last Visit: 29/05/2021 |
| Patient Name | Mr. MANAB DAS | Contact No | 7059677129 |
| Address | 36 BHADURI LANE SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||