Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11682 | Date 17/11/2022 |
| Token No | SM/22-23/18005 17/11/2022 | Serial | 009 Last Visit: 17/11/2022 |
| Patient Name | Mr. PRAFULA GHOSH | Contact No | 6291491910 |
| Address | 7/B CHATRA GHOSH 2ND LANE SERAMPORE | Age | 78 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||