Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09998 | Date 27/08/2021 |
| Token No | SM/21-22/4487 27/08/2021 | Serial | 022 Last Visit: 27/08/2021 |
| Patient Name | Mr. SURAJIT RANA | Contact No | 7044575713 |
| Address | 25, ROY GHAT LANE SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||