Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10050 | Date 06/09/2021 |
| Token No | SM/21-22/4821 06/09/2021 | Serial | 053 Last Visit: 06/09/2021 |
| Patient Name | Mr. SUBRADIP MONDAL | Contact No | 8334029967 |
| Address | 41 HARIJAN ROAD,DAS PARA,BAIDYABATI(M) | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||