Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09851 | Date 16/07/2021 |
| Token No | SM/21-22/3612 29/07/2021 | Serial | 015 Last Visit: 29/07/2021 |
| Patient Name | Mr. NABAKUMAR KARMAKAR | Contact No | 9831515844 |
| Address | 60,CHATRA BARUI PARA LANE SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||