Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10325 | Date 23/11/2021 |
| Token No | SM/21-22/7056 23/11/2021 | Serial | 022 Last Visit: 23/11/2021 |
| Patient Name | Mr. SUDIPTA MUKHERJEE | Contact No | 7980197673 |
| Address | 37/E CHATRA DHARMATALA LANE SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||