Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08599 | Date 29/07/2020 |
| Token No | SM/21-22/6134 23/10/2021 | Serial | 001 Last Visit: 22/01/2022 |
| Patient Name | Mr. MADHU DAS | Contact No | 8582889320 |
| Address | 42/B BARA BAGAN LANE SERAMPORE MALLICKPARA | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||