Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09608 | Date 11/05/2021 |
| Token No | SM/21-22/1321 11/05/2021 | Serial | 039 Last Visit: 11/05/2021 |
| Patient Name | Mr. ALOK GOSWAMI | Contact No | 8981952530 |
| Address | 8 SHIV CHANDRA PALIT LANE SERAMPORE | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||