Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11404 | Date 06/08/2022 |
| Token No | SM/22-23/15512 06/08/2022 | Serial | 043 Last Visit: 06/08/2022 |
| Patient Name | Mr. SUMAN PANJA | Contact No | 8777299113 |
| Address | 11,LAL BAHADUR SHASTRI ROAD SERAMPORE HOOGHLY | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||