Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09883 | Date 28/07/2021 |
| Token No | SM/21-22/3568 28/07/2021 | Serial | 002 Last Visit: 28/07/2021 |
| Patient Name | Mr. RASHBEHARI PAL | Contact No | 7998216606 |
| Address | 10A BARUIPARA LANE CHATRA SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||