Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09727 | Date 15/06/2021 |
| Token No | SM/21-22/2300 15/06/2021 | Serial | 036 Last Visit: 15/06/2021 |
| Patient Name | Mr. SANJOY DAS | Contact No | |
| Address | TINBAZAR BYE LANE SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||