Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00361 | Date 11/08/2018 |
| Token No | SM/20-21/26851 19/10/2020 | Serial | 062 Last Visit: 07/06/2021 |
| Patient Name | Mr. ABHIRAM BAG | Contact No | 8013220317 |
| Address | 11/A DUTTAS LANE, CHATRA, SERAMPORE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||