Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12832 | Date 08/12/2023 |
| Token No | SM/22-23/26870 08/12/2023 | Serial | 012 Last Visit: 08/12/2023 |
| Patient Name | Mr. MOLOY CHAKRABORTY | Contact No | |
| Address | SERAMPORE | Age | 67 Years,0 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||