Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11483 | Date 27/08/2022 |
| Token No | SM/22-23/16793 16/09/2022 | Serial | 020 Last Visit: 16/09/2022 |
| Patient Name | Mr. TAPAN KUMAR DUTTA | Contact No | 8013773701 |
| Address | 26 NO CHOWDHURY PARA LANE SERAMPORE | Age | 87 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||