Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10059 | Date 08/09/2021 |
| Token No | SM/21-22/4878 08/09/2021 | Serial | 020 Last Visit: 08/09/2021 |
| Patient Name | Mr. PRASHANTA SAHA | Contact No | 7890226551 |
| Address | HARIPADA SAHA 84 NEHERU NAGAR COLONY SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||