Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10666 | Date 12/02/2022 |
| Token No | SM/21-22/9812 12/02/2022 | Serial | 005 Last Visit: 12/02/2022 |
| Patient Name | Mr. MANOJ DAS | Contact No | 8697361960 |
| Address | 36 BHADURI LANE SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||