Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10144 | Date 27/09/2021 |
| Token No | SM/21-22/6388 29/10/2021 | Serial | 016 Last Visit: 29/10/2021 |
| Patient Name | Mr. RANJIT DALAL | Contact No | 9836237256 |
| Address | 25 SATCHASI PARA SERAMPORE | Age | 87 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||