Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11839 | Date 09/01/2023 |
| Token No | SM/22-23/19579 09/01/2023 | Serial | 018 Last Visit: 09/01/2023 |
| Patient Name | Mr. BASUDEB MODAK | Contact No | 8617266198 |
| Address | 54 A P GHOSH ROAD CHATRA SERAMPORE | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||