Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09982 | Date 25/08/2021 |
| Token No | SM/21-22/5194 18/09/2021 | Serial | 006 Last Visit: 22/04/2022 |
| Patient Name | Mr. NANDADULAL GHOSAL | Contact No | 9433946230 |
| Address | 88 NETAJI SUBHAS AVENEUE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||