Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09893 | Date 30/07/2021 |
| Token No | SM/21-22/3624 30/07/2021 | Serial | 008 Last Visit: 22/05/2023 |
| Patient Name | Mr. SUBHASH GARAI | Contact No | 7890139607 |
| Address | 97/B G.T ROAD NABAGRAM SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||