Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10190 | Date 08/10/2021 |
| Token No | SM/21-22/5892 08/10/2021 | Serial | 014 Last Visit: 08/10/2021 |
| Patient Name | Mr. SUSHANTA DAS | Contact No | 9804226473 |
| Address | 91/D,R.K ROAD CHATRA MANNA PARA SERAMPORE | Age | 66 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||