Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07410 | Date 24/01/2020 |
| Token No | SM/19-20/17399 01/02/2020 | Serial | 010 Last Visit: 01/02/2020 |
| Patient Name | Mr. SAJAL KANTI SOM | Contact No | 9874047790 |
| Address | 46 (114) SATCHASHI SERAMPORE, BAIDYABATI(M) | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||