Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09702 | Date 10/06/2021 |
| Token No | SM/21-22/5411 24/09/2021 | Serial | 006 Last Visit: 21/01/2022 |
| Patient Name | Mr. BANKIM MARIK | Contact No | 9804299453 |
| Address | 46,DUTTA PARA LANE SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||