Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11179 | Date 23/06/2022 |
| Token No | SM/22-23/13919 23/06/2022 | Serial | 038 Last Visit: 23/06/2022 |
| Patient Name | Mr. SAPTADEEP DUTTA | Contact No | 9674498500 |
| Address | 29, DUTTA PARA LANE CHATRA SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||