Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07626 | Date 25/02/2020 |
| Token No | SM/21-22/3773 05/08/2021 | Serial | 005 Last Visit: 27/12/2021 |
| Patient Name | Mr. SK SHAZNAZ | Contact No | 8478893883 |
| Address | 252 KHANDAKAR PARA,BAIDYABATI(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||