Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09952 | Date 17/08/2021 |
| Token No | SM/21-22/4125 17/08/2021 | Serial | 009 Last Visit: 08/07/2022 |
| Patient Name | Mr. DEBDAS MALLICK | Contact No | 8100016487 |
| Address | 16/A ROY GHAT LANE SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||