Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10141 | Date 27/09/2021 |
| Token No | SM/21-22/5707 04/10/2021 | Serial | 028 Last Visit: 04/10/2021 |
| Patient Name | Mr. MANTU DAS | Contact No | 9163595215 |
| Address | 42,DAKSHIN BHATTACHARIYA PARA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||