Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09539 | Date 24/04/2021 |
| Token No | SM/21-22/836 24/04/2021 | Serial | 025 Last Visit: 24/04/2021 |
| Patient Name | Mr. DILIP SYAMAL | Contact No | 9831950318 |
| Address | 216,GHOSAL PARA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||