Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09838 | Date 14/07/2021 |
| Token No | SM/21-22/3136 14/07/2021 | Serial | 009 Last Visit: 15/07/2021 |
| Patient Name | Mr. PRADYUMNA BAGCHI | Contact No | 9433185603 |
| Address | 102 N.S AVENUE SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||