Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10362 | Date 29/11/2021 |
| Token No | SM/21-22/7319 29/11/2021 | Serial | 045 Last Visit: 29/11/2021 |
| Patient Name | Mr. PRATAP MONDAL | Contact No | 8697247267 |
| Address | UTTAR MONDAL PARA SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||