Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07285 | Date 06/01/2020 |
| Token No | SM/19-20/16246 06/01/2020 | Serial | 042 Last Visit: 30/05/2020 |
| Patient Name | Mr. SOMNATH GOSWAMI | Contact No | 6291823920 |
| Address | 19 CHATRA DOL TALA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||