Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09463 | Date 13/04/2021 |
| Token No | SM/21-22/432 13/04/2021 | Serial | 010 Last Visit: 13/04/2021 |
| Patient Name | Mr. UTPAL SOM | Contact No | 9230418690 |
| Address | 46/11 SATCHASI PARA LANE , BAIDYABATI (M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||