Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04754 | Date 18/04/2019 |
| Token No | SM/19-20/1112 18/04/2019 | Serial | 025 Last Visit: 05/02/2025 |
| Patient Name | Mr. SOMNATH KUMHAR | Contact No | 7439306998 |
| Address | 4 LBS ROAD TINBAZAR SERAMPORE | Age | 32 Years,1 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||