Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09758 | Date 26/06/2021 |
| Token No | SM/21-22/2590 26/06/2021 | Serial | 005 Last Visit: 26/06/2021 |
| Patient Name | Mr. RAHUL BANERJEE | Contact No | 7595939421 |
| Address | 9,GHOSH PARA LANE SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||