Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11994 | Date 20/03/2023 |
| Token No | SM/22-23/20742 20/03/2023 | Serial | 006 Last Visit: 20/03/2023 |
| Patient Name | Mr. KARAN MALLICK | Contact No | 7980650857 |
| Address | 28/B M D LANE SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||