Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09709 | Date 11/06/2021 |
| Token No | SM/21-22/3364 22/07/2021 | Serial | 041 Last Visit: 09/08/2021 |
| Patient Name | Mr. RABINDRANATH MALLICK | Contact No | 9051763552 |
| Address | 16/A ROY GHAT LANE SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||