Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09216 | Date 27/01/2021 |
| Token No | SM/20-21/31122 24/03/2021 | Serial | 011 Last Visit: 24/03/2021 |
| Patient Name | Mr. ASHIM KUMAR MAJUMDAR | Contact No | 9038192681 |
| Address | 2 UPPER STAND ROAD ROY GHAT | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||