Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10167 | Date 01/10/2021 |
| Token No | SM/21-22/5669 01/10/2021 | Serial | 026 Last Visit: 01/10/2021 |
| Patient Name | Mr. TARASANKAR CHOWDHURY | Contact No | 8777260847 |
| Address | 9/E/8 BARA BAGAN LANE SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||