Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11150 | Date 18/06/2022 |
| Token No | SM/22-23/13713 18/06/2022 | Serial | 035 Last Visit: 18/06/2022 |
| Patient Name | Mr. SUBHASIS KOLEY | Contact No | 6291301002 |
| Address | 127, N.S AVENUE SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||