Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11180 | Date 23/06/2022 |
| Token No | SM/22-23/13924 23/06/2022 | Serial | 043 Last Visit: 23/06/2022 |
| Patient Name | Mr. SOUMAJIT ADHIKARY | Contact No | 6290267895 |
| Address | 21 KUMIR JALA ROAD SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||