Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10316 | Date 22/11/2021 |
| Token No | SM/21-22/6992 22/11/2021 | Serial | 032 Last Visit: 04/05/2022 |
| Patient Name | Mr. ARUN KUMAR MAPDAR | Contact No | 9088976911 |
| Address | 85/C MUKHERJEE PARA CHATRA SERAMPORE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||