Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05616 | Date 29/06/2019 |
| Token No | SM/19-20/5568 29/06/2019 | Serial | 001 Last Visit: 30/12/2024 |
| Patient Name | Mr. ASHOK KAYAL | Contact No | 7044158225 |
| Address | 82 CHATRA BARUI PARA SERAMPORE | Age | 51 Years,11 Months,28 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||