Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11564 | Date 12/09/2022 |
| Token No | SM/22-23/16652 12/09/2022 | Serial | 049 Last Visit: 12/09/2022 |
| Patient Name | Mr. SUJIT KUNDU | Contact No | 8961234913 |
| Address | 57/D/A G T ROAD BAIDYABATI | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||