Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09735 | Date 22/06/2021 |
| Token No | SM/21-22/6978 22/11/2021 | Serial | 018 Last Visit: 23/03/2022 |
| Patient Name | Mr. PRAKASH DAS | Contact No | |
| Address | 99,N.S AVENUE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||