Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09863 | Date 22/07/2021 |
| Token No | SM/21-22/3379 22/07/2021 | Serial | 056 Last Visit: 21/04/2023 |
| Patient Name | Mr. KANAILAL CHYAKRABORTY | Contact No | 8481847292 |
| Address | 62, THAKUR DAS BABU LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||