Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08335 | Date 11/06/2020 |
| Token No | SM/20-21/25968 23/09/2020 | Serial | 012 Last Visit: 13/01/2022 |
| Patient Name | Mr. LALTU DAS | Contact No | 9674513091 |
| Address | 5NO RCM LANE, SERAMPORE | Age | 33 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||