Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09674 | Date 04/06/2021 |
| Token No | SM/21-22/1911 04/06/2021 | Serial | 006 Last Visit: 04/06/2021 |
| Patient Name | Mr. MINATI KARMAKAR | Contact No | 9874916879 |
| Address | 29,RAJA K.L GHOSWAMI STREET SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||