Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10031 | Date 02/09/2021 |
| Token No | SM/21-22/4675 02/09/2021 | Serial | 037 Last Visit: 02/09/2021 |
| Patient Name | Mr. BISWAJIT DAS | Contact No | |
| Address | 47/31, HARIJAN ROAD SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||