Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09458 | Date 12/04/2021 |
| Token No | SM/21-22/2844 05/07/2021 | Serial | 028 Last Visit: 05/07/2021 |
| Patient Name | Mr. IMRAN MALLICK | Contact No | 6289839518 |
| Address | 1,DR. CHATTERJEE BYE LANE SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||