Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10010 | Date 31/08/2021 |
| Token No | SM/21-22/4593 31/08/2021 | Serial | 046 Last Visit: 31/08/2021 |
| Patient Name | Mr. MAHADEB SAHA | Contact No | 8100266079 |
| Address | 20, ROY GHAT LANE SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||