Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03182 | Date 25/01/2019 |
| Token No | SM/19-20/1891 29/04/2019 | Serial | 047 Last Visit: 31/03/2022 |
| Patient Name | Mr. MALAY DAS | Contact No | 9874044846 |
| Address | 36 BHADURI PARA CHATRA SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||