Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09939 | Date 13/08/2021 |
| Token No | SM/21-22/5114 15/09/2021 | Serial | 023 Last Visit: 15/09/2021 |
| Patient Name | Mr. PINTU BANERJEE | Contact No | 9007517687 |
| Address | 61,G.T ROAD CHATRA SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||