Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04790 | Date 20/04/2019 |
| Token No | SM/21-22/8639 07/01/2022 | Serial | 034 Last Visit: 16/07/2022 |
| Patient Name | Mr. BISWANATH BANIK | Contact No | 9331282766 |
| Address | 13 ROY GHAT LANE SERAMPORE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||