Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11123 | Date 14/06/2022 |
| Token No | SM/22-23/13522 14/06/2022 | Serial | 002 Last Visit: 14/06/2022 |
| Patient Name | Mr. RAHUL DUTTA | Contact No | 9830646328 |
| Address | 67/B CHATRA BARUIPARA LANE SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||