Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11961 | Date 11/03/2023 |
| Token No | SM/22-23/20579 11/03/2023 | Serial | 026 Last Visit: 11/03/2023 |
| Patient Name | Mr. SUMIT NAG | Contact No | 9330242893 |
| Address | 3 CHATRA DUTTAS LANE SERAMPORE | Age | 31 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||