Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07461 | Date 03/02/2020 |
| Token No | SM/19-20/19410 11/03/2020 | Serial | 073 Last Visit: 11/03/2020 |
| Patient Name | Mr. SOUMIK BENERJEE | Contact No | 8335877168 |
| Address | 49/B CHATRA,DHARMATALA | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||