Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10536 | Date 10/01/2022 |
| Token No | SM/21-22/9272 24/01/2022 | Serial | 020 Last Visit: 19/05/2022 |
| Patient Name | Mr. ARNAB CHOUDHURY | Contact No | 8335979117 |
| Address | 54/F S.C CHATTERJEE SARANI SERAMPORE | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||