Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10973 | Date 02/05/2022 |
| Token No | SM/22-23/12161 02/05/2022 | Serial | 037 Last Visit: 02/05/2022 |
| Patient Name | Mr. SURAJIT MONDAL | Contact No | |
| Address | BAGNAN | Age | 34 Yrs Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||