Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09512 | Date 22/04/2021 |
| Token No | SM/21-22/2118 10/06/2021 | Serial | 025 Last Visit: 16/09/2021 |
| Patient Name | Mr. PARTHA BOSE | Contact No | 7449652728 |
| Address | KONNAGORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||