Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10271 | Date 12/11/2021 |
| Token No | SM/21-22/6798 12/11/2021 | Serial | 072 Last Visit: 12/11/2021 |
| Patient Name | Mr. SWAPNANIL DATTA | Contact No | 8479043622 |
| Address | 18,BHADHURI LANE SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||