Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11124 | Date 14/06/2022 |
| Token No | SM/22-23/13530 14/06/2022 | Serial | 010 Last Visit: 29/07/2022 |
| Patient Name | Mr. SANDIP BHATTERJEE | Contact No | 9163880879 |
| Address | 44 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||