Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10641 | Date 08/02/2022 |
| Token No | SM/21-22/9843 14/02/2022 | Serial | 019 Last Visit: 16/09/2022 |
| Patient Name | Mr. GAUTAM PAL | Contact No | 7595865838 |
| Address | 34 NO KUMOR PARA LANE SERAMPORE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||