Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03677 | Date 18/02/2019 |
| Token No | SM/19-20/19709 16/03/2020 | Serial | 033 Last Visit: 21/06/2021 |
| Patient Name | Mr. BISWANATH PAL | Contact No | 9830431999 |
| Address | 32 CHATRA KUMAR PARA | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||