Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10305 | Date 18/11/2021 |
| Token No | SM/21-22/6922 18/11/2021 | Serial | 009 Last Visit: 18/11/2021 |
| Patient Name | Mr. SUBHRAJIT BANERJEE | Contact No | 9330629590 |
| Address | 12,C DUTTA PARA SERAMPORE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||