Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07521 | Date 12/02/2020 |
| Token No | SM/21-22/11016 23/03/2022 | Serial | 022 Last Visit: 23/03/2022 |
| Patient Name | Mr. BISWAJIT PAL | Contact No | 9875354264 |
| Address | 10 KUMAR PARA LANE SERAMPORE | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||