Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13088 | Date 06/01/2024 |
| Token No | SM/22-23/27897 06/01/2024 | Serial | 012 Last Visit: 09/01/2024 |
| Patient Name | Mr. SUBHASH CHANDRA DAS | Contact No | 9051482325 |
| Address | 30 DHARMATALA LANE CHATRA SERAMPORE | Age | 53 Years,3 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||