Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08728 | Date 10/09/2020 |
| Token No | SM/22-23/17756 09/11/2022 | Serial | 025 Last Visit: 09/11/2022 |
| Patient Name | Mr. ALOK ASH | Contact No | 8276874869 |
| Address | 29/A CHATRA DUTTA PARA LANE CHATRA SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||