Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11619 | Date 26/09/2022 |
| Token No | SM/22-23/17116 26/09/2022 | Serial | 021 Last Visit: 29/12/2022 |
| Patient Name | Mr. ROHIT DAS | Contact No | 7003947115 |
| Address | 25/C KANAI DIWAN TALA,SHEORAPHULI SERAMPORE(M) | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||