Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09769 | Date 29/06/2021 |
| Token No | SM/21-22/2686 29/06/2021 | Serial | 027 Last Visit: 06/08/2022 |
| Patient Name | Mr. SUBHAJIT ROUTH | Contact No | 9330543006 |
| Address | CHATRA MUSHALMAN PARA SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||