Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03182 | Date 25/01/2019 |
| Token No | SM/20-21/30311 03/03/2021 | Serial | 020 Last Visit: 31/03/2022 |
| Patient Name | Mr. MALAY DAS | Contact No | 9874044846 |
| Address | 36 BHADURI PARA CHATRA SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||