Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11507 | Date 31/08/2022 |
| Token No | SM/22-23/16175 31/08/2022 | Serial | 005 Last Visit: 31/08/2022 |
| Patient Name | Mr. KALIPADA DUTTA | Contact No | 9330715799 |
| Address | 52/B CHATRA BARUI PARA LANE SERAMPORE | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||