Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 12701 | Date 03/11/2023 |
| Token No | SM/22-23/25877 03/11/2023 | Serial | 001 Last Visit: 04/11/2023 |
| Patient Name | Mr. SUNIL MONDAL | Contact No | 9073781613 |
| Address | 10 M G ROAD SERAMPORE | Age | 52 Years,10 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||