Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07298 | Date 07/01/2020 |
| Token No | SM/21-22/1465 17/05/2021 | Serial | 050 Last Visit: 10/04/2023 |
| Patient Name | Mr. SHYAM SUNDAR PAL | Contact No | 9143067012 |
| Address | 33/A KUMOR PARA LANE CHATRA, SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||