Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08881 | Date 16/10/2020 |
| Token No | SM/22-23/15929 22/08/2022 | Serial | 039 Last Visit: 16/01/2023 |
| Patient Name | Mr. ANTARA SOM | Contact No | 8017196923 |
| Address | 17/B CHATRA DUTTA PARA LANE SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||