Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04763 | Date 18/04/2019 |
| Token No | SM/21-22/4209 19/08/2021 | Serial | 015 Last Visit: 20/07/2022 |
| Patient Name | Mr. SAGNICK SOM | Contact No | 9883730539 |
| Address | 68/A CHATRA BARUI PARA LANE SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||