Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11601 | Date 22/09/2022 |
| Token No | SM/22-23/16979 22/09/2022 | Serial | 010 Last Visit: 22/09/2022 |
| Patient Name | Mr. SARAL KR. SOM | Contact No | 8420934560 |
| Address | 124/D BARUI PARA LANE CHATRA SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 16.660259 |
| Diagnosis | |||