Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10281 | Date 16/11/2021 |
| Token No | SM/21-22/6846 16/11/2021 | Serial | 014 Last Visit: 22/04/2022 |
| Patient Name | Mr. AKSHAY KHILAR | Contact No | 9836593971 |
| Address | 33,CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 26 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||