Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05415 | Date 13/06/2019 |
| Token No | SM/19-20/4501 13/06/2019 | Serial | 056 Last Visit: 29/02/2024 |
| Patient Name | Mr. TAPAS SOM | Contact No | 8017196923 |
| Address | 17B DUTTA LANE SERAMPORE | Age | 59 Years,1 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||