Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09825 | Date 09/07/2021 |
| Token No | SM/21-22/3058 09/07/2021 | Serial | 038 Last Visit: 09/07/2021 |
| Patient Name | Mr. RAHUL SAROJ | Contact No | 6291396332 |
| Address | 18, K.M BHATTACHARYA STREET SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||