Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11169 | Date 22/06/2022 |
| Token No | SM/22-23/13978 24/06/2022 | Serial | 045 Last Visit: 24/06/2022 |
| Patient Name | Mr. DILIP PAL | Contact No | 9339656471 |
| Address | 41/ANO KUMOR PARA LANE CHATRA SERAMPORE | Age | 61 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 172 cm BMI: 16.901028 |
| Diagnosis | |||