Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11972 | Date 14/03/2023 |
| Token No | SM/22-23/20645 14/03/2023 | Serial | 020 Last Visit: 14/03/2023 |
| Patient Name | Mr. PULAK KAR | Contact No | 7003323956 |
| Address | 16/2/A BARA BAGAN LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||