Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00291 | Date 10/08/2018 |
| Token No | SM/21-22/9006 17/01/2022 | Serial | 022 Last Visit: 21/11/2022 |
| Patient Name | Mr. GIRISH MAJHI | Contact No | 7595982321 |
| Address | 51C /4BARO BAGAN , SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||