Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10341 | Date 26/11/2021 |
| Token No | SM/21-22/7222 26/11/2021 | Serial | 043 Last Visit: 26/11/2021 |
| Patient Name | Mr. RABI SANKAR ROY | Contact No | 8583925019 |
| Address | SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||