Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09915 | Date 07/08/2021 |
| Token No | SM/21-22/3832 07/08/2021 | Serial | 003 Last Visit: 22/06/2022 |
| Patient Name | Mr. ASHOK SHAW | Contact No | 8820134602 |
| Address | 10 A, MAHATMA GANDHI ROAD SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||