Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09617 | Date 17/05/2021 |
| Token No | SM/21-22/1424 17/05/2021 | Serial | 009 Last Visit: 17/05/2021 |
| Patient Name | Mr. MONI KACHAN DEY | Contact No | 7278675993 |
| Address | 2,DUTTA PARA LANE CHATRA SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||