Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05066 | Date 10/05/2019 |
| Token No | SM/19-20/2503 10/05/2019 | Serial | 100 Last Visit: 16/02/2024 |
| Patient Name | Mr. SUBHAMOY SOM | Contact No | 9007229611 |
| Address | 17D DUTTAS LANE SERAMPORE | Age | 35 Years,1 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 81 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||