Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12140 | Date 07/06/2023 |
| Token No | SM/22-23/22032 07/06/2023 | Serial | 006 Last Visit: 07/06/2023 |
| Patient Name | Mr. SURAJIT MITRA | Contact No | 9820748769 |
| Address | 32/A/1 BHADURI PARA LANE SERAMPORE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||