Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09891 | Date 29/07/2021 |
| Token No | SM/21-22/3616 29/07/2021 | Serial | 019 Last Visit: 29/07/2021 |
| Patient Name | Mr. MALINA DAS | Contact No | 9804775151 |
| Address | TAL PUKUR SERAMPORE | Age | 65 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||