Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10071 | Date 11/09/2021 |
| Token No | SM/21-22/4973 11/09/2021 | Serial | 002 Last Visit: 17/01/2022 |
| Patient Name | Mr. HARU JANA | Contact No | 9674434247 |
| Address | 51,BAGER BAGAN SERAMPORE,BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||