Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10414 | Date 13/12/2021 |
| Token No | SM/21-22/7733 13/12/2021 | Serial | 030 Last Visit: 13/12/2021 |
| Patient Name | Mr. DEBATOSH MALLICK | Contact No | 8777364909 |
| Address | NETAJI SUBHAS AVENUE SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 168 cm BMI: 21.967120 |
| Diagnosis | |||