Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10048 | Date 06/09/2021 |
| Token No | SM/21-22/7013 22/11/2021 | Serial | 053 Last Visit: 12/05/2022 |
| Patient Name | Mr. ASIM CHOWDHURY | Contact No | 9007411067 |
| Address | 54/F S.C CHATTERJEE SARANI SERAMPORE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||