Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00522 | Date 17/08/2018 |
| Token No | SM/21-22/7008 22/11/2021 | Serial | 048 Last Visit: 19/06/2023 |
| Patient Name | Mr. RANJIT SHAW | Contact No | 8013504463 |
| Address | SOUTH BHATCHARJEE PARA LANE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||