Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09890 | Date 29/07/2021 |
| Token No | SM/21-22/7835 16/12/2021 | Serial | 028 Last Visit: 18/01/2022 |
| Patient Name | Mr. DILIP PAL | Contact No | 9331279984 |
| Address | 8/A KUMOR PARA LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||