Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10148 | Date 27/09/2021 |
| Token No | SM/21-22/7966 21/12/2021 | Serial | 022 Last Visit: 24/11/2022 |
| Patient Name | Mr. SANJAY POREL | Contact No | 9051545691 |
| Address | 17,CHAMPATALA LANE CHATRA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||