Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12192 | Date 01/07/2023 |
| Token No | SM/22-23/22529 01/07/2023 | Serial | 016 Last Visit: 01/07/2023 |
| Patient Name | Mr. ROMIT GUIN | Contact No | 7685976211 |
| Address | 1/1 B DUTTA PARA LANE SERAMPORE CHATRA | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 93.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||