Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08635 | Date 07/08/2020 |
| Token No | SM/22-23/18398 29/11/2022 | Serial | 041 Last Visit: 29/11/2022 |
| Patient Name | Mr. ANANDA SOM | Contact No | 9836856607 |
| Address | 68 A CHATRA BARUI PARA LANE SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||