Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07917 | Date 24/03/2020 |
| Token No | SM/19-20/20230 24/03/2020 | Serial | 051 Last Visit: 24/03/2020 |
| Patient Name | Mr. SOMNATH RAMSINGH | Contact No | 9831758618 |
| Address | 1 CHATUGHANGH MUSALMANPARA SERAMPORE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||