Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10317 | Date 22/11/2021 |
| Token No | SM/21-22/6998 22/11/2021 | Serial | 038 Last Visit: 22/11/2021 |
| Patient Name | Mr. KALYAN DUTTA | Contact No | 9874038209 |
| Address | 63,CHATRA DHARMATALA LANE SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||