Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09960 | Date 18/08/2021 |
| Token No | SM/21-22/4185 18/08/2021 | Serial | 035 Last Visit: 18/08/2021 |
| Patient Name | Mr. DEBASISH LAHIRI | Contact No | 9830406294 |
| Address | CHATRA SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||