Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 10120 | Date 23/09/2021 |
| Token No | SM/22-23/12223 05/05/2022 | Serial | 042 Last Visit: 15/05/2023 |
| Patient Name | Mr. SUBHASIS PANJA | Contact No | 9836610179 |
| Address | 83/I KHATIR BAZAR LANE SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||