Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10257 | Date 30/10/2021 |
| Token No | SM/21-22/6453 30/10/2021 | Serial | 022 Last Visit: 30/10/2021 |
| Patient Name | Mr. SAHADEB MONDAL | Contact No | 9874336850 |
| Address | 102,G.T ROAD CHATRA SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||