Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09817 | Date 08/07/2021 |
| Token No | SM/21-22/2991 08/07/2021 | Serial | 013 Last Visit: 08/07/2021 |
| Patient Name | Mr. SRIKANTA BANDYOPADHYAY | Contact No | 9874481381 |
| Address | 13/A VIVEKANANDA LANE SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||