Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06462 | Date 19/09/2019 |
| Token No | SM/21-22/4396 25/08/2021 | Serial | 014 Last Visit: 27/08/2021 |
| Patient Name | Mr. ASHOK KR DAS | Contact No | 9748595853 |
| Address | 3/H, DUTTA PARA LANE CHATRA SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||