Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10215 | Date 22/10/2021 |
| Token No | SM/21-22/6107 22/10/2021 | Serial | 038 Last Visit: 21/03/2022 |
| Patient Name | Mr. DURLABH SINGHA | Contact No | 9674111790 |
| Address | 18/2/A BARA BAGAN LANE SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||