Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11528 | Date 05/09/2022 |
| Token No | SM/22-23/16374 05/09/2022 | Serial | 047 Last Visit: 05/09/2022 |
| Patient Name | Mr. RAKESH SHAW | Contact No | 9007893669 |
| Address | 13 PN MUKHERJEE STREET SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||