Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12661 | Date 24/10/2023 |
| Token No | SM/22-23/25600 24/10/2023 | Serial | 004 Last Visit: 24/10/2023 |
| Patient Name | Mr. DILIP SARKAR | Contact No | |
| Address | SERAMPORE CHATRA | Age | 71 Years,2 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||