Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05996 | Date 29/07/2019 |
| Token No | SM/21-22/5522 27/09/2021 | Serial | 020 Last Visit: 21/02/2022 |
| Patient Name | Mr. SUNYDEO PRASAD | Contact No | 9088663762 |
| Address | 55NO ROYLANDROAD SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||