Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10169 | Date 01/10/2021 |
| Token No | SM/21-22/5678 01/10/2021 | Serial | 035 Last Visit: 01/10/2021 |
| Patient Name | Mr. MANGAL GHOSH | Contact No | 9804012934 |
| Address | 48/B MUKHERJEE PARA LANE, SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||