Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08978 | Date 18/11/2020 |
| Token No | SM/21-22/5881 08/10/2021 | Serial | 003 Last Visit: 13/01/2023 |
| Patient Name | Mr. GOPAL RAY | Contact No | 7979957136 |
| Address | 21 DR P. N. MUKHERJEE STREET CHATRA SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||