Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09545 | Date 27/04/2021 |
| Token No | SM/21-22/896 27/04/2021 | Serial | 014 Last Visit: 27/04/2021 |
| Patient Name | Mr. SUJIT KUMAR CHAKRABARTI | Contact No | 9883045339 |
| Address | 6,P.N CHAKRABORTY LANE SERAMPORE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||