Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11674 | Date 15/11/2022 |
| Token No | SM/22-23/17923 15/11/2022 | Serial | 026 Last Visit: 15/11/2022 |
| Patient Name | Mr. ROHAN DUTTA | Contact No | 8335990045 |
| Address | 9 CHAND MOHAY LANE SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||