Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10191 | Date 08/10/2021 |
| Token No | SM/21-22/6099 22/10/2021 | Serial | 030 Last Visit: 22/10/2021 |
| Patient Name | Mr. BAIDYANATH MOHANTA | Contact No | 7076075105 |
| Address | BARDDHAMAN | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||