Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09818 | Date 08/07/2021 |
| Token No | SM/21-22/4977 11/09/2021 | Serial | 006 Last Visit: 11/09/2021 |
| Patient Name | Mr. SOMNATH MALIK | Contact No | 8274009881 |
| Address | 16 BAGER BAGAN CHATRA SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||