Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09528 | Date 23/04/2021 |
| Token No | SM/21-22/760 23/04/2021 | Serial | 013 Last Visit: 26/04/2021 |
| Patient Name | Mr. ARGHA MONDAL | Contact No | 9163104053 |
| Address | 57/DR. G.C GHOSWAMI STREET SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||