Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10284 | Date 17/11/2021 |
| Token No | SM/21-22/9984 18/02/2022 | Serial | 039 Last Visit: 18/02/2022 |
| Patient Name | Mr. AJOY KUMAR DAS | Contact No | 8420127687 |
| Address | 134/A, A.P GHOSH ROAD SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||