Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08887 | Date 16/10/2020 |
| Token No | SM/21-22/7100 24/11/2021 | Serial | 017 Last Visit: 22/03/2022 |
| Patient Name | Mr. ARUN GUIN | Contact No | 9874314260 |
| Address | 8 BARUIPARA LANE CHATRA SERAMPORE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||