Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09671 | Date 03/06/2021 |
| Token No | SM/21-22/1899 03/06/2021 | Serial | 022 Last Visit: 23/06/2021 |
| Patient Name | Mr. SHYAM SUNDAR CHOWDHURY | Contact No | 8961280513 |
| Address | 4,DOCTOR BAGAN LANE SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||