Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09959 | Date 18/08/2021 |
| Token No | SM/21-22/4180 18/08/2021 | Serial | 030 Last Visit: 18/08/2021 |
| Patient Name | Mr. SHUBHASHIS PAL | Contact No | 7003619315 |
| Address | 45,SITALATALA ROAD CHATRA SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||