Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10933 | Date 18/04/2022 |
| Token No | SM/22-23/11886 21/04/2022 | Serial | 027 Last Visit: 21/04/2025 |
| Patient Name | Mr. MANOJ KUNDU | Contact No | 7059584284 |
| Address | 11/A MUSALMAN PARA ROAD SERAMPORE | Age | 48 Years,3 Months,18 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||