Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02418 | Date 08/12/2018 |
| Token No | SM/18-19/4911 08/12/2018 | Serial | 038 Last Visit: 12/10/2023 |
| Patient Name | Mr. MANAS PAL | Contact No | 8443008719 |
| Address | 13/A KUMOR PARA CHATRA SERAMPORE | Age | 44 Years,9 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||