Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09011 | Date 01/12/2020 |
| Token No | SM/20-21/27957 01/12/2020 | Serial | 059 Last Visit: 21/09/2024 |
| Patient Name | Mr. SK ASADUL | Contact No | 7605895237 |
| Address | KHARSARAI TETULTALA BEGAMPUR | Age | 18 Years,8 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||