Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08829 | Date 07/10/2020 |
| Token No | SM/20-21/26420 07/10/2020 | Serial | 023 Last Visit: 07/10/2020 |
| Patient Name | Mr. SOUMEN KAYAL | Contact No | 8582802330 |
| Address | 96/75F TELIPARA BAIDYABATI(M) CHATRA SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||