Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10182 | Date 07/10/2021 |
| Token No | SM/22-23/11585 09/04/2022 | Serial | 016 Last Visit: 01/09/2023 |
| Patient Name | Mr. KOUSHIK ROY | Contact No | 8777563641 |
| Address | 2 P N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 31 Years,3 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||