Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10486 | Date 31/12/2021 |
| Token No | SM/21-22/8361 31/12/2021 | Serial | 048 Last Visit: 31/12/2021 |
| Patient Name | Mr. PROFULLO GHOSH | Contact No | |
| Address | SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||