Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09167 | Date 13/01/2021 |
| Token No | SM/21-22/4203 19/08/2021 | Serial | 009 Last Visit: 19/05/2022 |
| Patient Name | Mr. GANGA PRASAD DUSAD | Contact No | |
| Address | 162/J G. T. ROAD,SERAMPORE | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||