Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10052 | Date 07/09/2021 |
| Token No | SM/21-22/5131 16/09/2021 | Serial | 003 Last Visit: 18/09/2021 |
| Patient Name | Mr. ARNAB BHATTACHARYYA | Contact No | 7003797448 |
| Address | 42/12/1 D N MUKHERJEE ROAD,BAIDYABATI(M) | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||