Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01920 | Date 12/11/2018 |
| Token No | SM/18-19/3533 12/11/2018 | Serial | 011 Last Visit: 09/06/2025 |
| Patient Name | Mr. SAJAL POREL | Contact No | 8777851702 |
| Address | 32 BHADURI PARA,CHATRA, SERAMPORE | Age | 23 Years,4 Months,17 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||