Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09656 | Date 28/05/2021 |
| Token No | SM/21-22/6195 25/10/2021 | Serial | 017 Last Visit: 24/05/2022 |
| Patient Name | Mr. ARGHADEEP PAL | Contact No | 6291819764 |
| Address | 15A,BHADURI LANE,CHATRA ,SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||