Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11407 | Date 08/08/2022 |
| Token No | SM/22-23/18487 02/12/2022 | Serial | 008 Last Visit: 13/12/2022 |
| Patient Name | Mr. RUPAK PAL | Contact No | 9903438593 |
| Address | DIARA HOOGHLY | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||