Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09544 | Date 26/04/2021 |
| Token No | SM/21-22/880 26/04/2021 | Serial | 044 Last Visit: 26/04/2021 |
| Patient Name | Mr. MRITYUNJOY HAZRA | Contact No | 9477029195 |
| Address | 26 BARA BAGAN LANE SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||