Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10125 | Date 24/09/2021 |
| Token No | SM/21-22/5863 07/10/2021 | Serial | 046 Last Visit: 26/11/2021 |
| Patient Name | Mr. SUMANTA ROY | Contact No | 9038519559 |
| Address | 2,P.N CHAKRABORTY LANE SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||