Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09757 | Date 26/06/2021 |
| Token No | SM/21-22/2588 26/06/2021 | Serial | 003 Last Visit: 01/08/2022 |
| Patient Name | Mr. JAGADISH DUTTA | Contact No | 8777023171 |
| Address | 5,GHOSH PARA BYE LANE SERAMPORE | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||