Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05443 | Date 15/06/2019 |
| Token No | SM/21-22/6451 30/10/2021 | Serial | 020 Last Visit: 23/12/2021 |
| Patient Name | Mr. PRADIP SANYAL | Contact No | 9433004855 |
| Address | 7/A DR.G.C GHOSWAMI STREET | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||