Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10137 | Date 25/09/2021 |
| Token No | SM/21-22/5500 25/09/2021 | Serial | 039 Last Visit: 25/09/2021 |
| Patient Name | Mr. BOKU GHOSH | Contact No | |
| Address | JAGADHATRI PARA SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||