Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10263 | Date 01/11/2021 |
| Token No | SM/21-22/6603 01/11/2021 | Serial | 000 Last Visit: 01/11/2021 |
| Patient Name | Mr. SUSMITA KOLEY | Contact No | 6259558166 |
| Address | BENE PARA LANE SERAMPORE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||