Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11594 | Date 19/09/2022 |
| Token No | SM/22-23/16904 19/09/2022 | Serial | 054 Last Visit: 19/09/2022 |
| Patient Name | Mr. SUSHAVAN DUTTA | Contact No | 8585078099 |
| Address | 80 CHATRA BARUIPARA LANE CHATRA SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||