Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08302 | Date 02/06/2020 |
| Token No | SM/19-20/22682 02/06/2020 | Serial | 031 Last Visit: 02/06/2020 |
| Patient Name | Mr. DEBARSHI SENGUPTA | Contact No | 7686864299 |
| Address | 45/E CHATRA MUSALMAN PARA ROAD SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||