Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03552 | Date 13/02/2019 |
| Token No | SM/21-22/8788 10/01/2022 | Serial | 070 Last Visit: 21/01/2023 |
| Patient Name | Mr. TUSHAR PAL | Contact No | 9681888381 |
| Address | 141/1/1 CHATRA SHITALA TALA,BAIDYABATI(M) | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||