Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02822 | Date 04/01/2019 |
| Token No | SM/21-22/6890 17/11/2021 | Serial | 017 Last Visit: 10/05/2022 |
| Patient Name | Mr. SURAJ CHATERJEE | Contact No | 6290430207 |
| Address | 85 A.P GHOSH ROAD | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||