Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09983 | Date 25/08/2021 |
| Token No | SM/21-22/4394 25/08/2021 | Serial | 012 Last Visit: 18/09/2021 |
| Patient Name | Mr. SUBHADIP GHOSAL | Contact No | 9674816915 |
| Address | 88 NETAJI SUBHAS AVENUE SERAMPORE | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||