Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04658 | Date 09/04/2019 |
| Token No | SM/20-21/27610 18/11/2020 | Serial | 032 Last Visit: 18/11/2020 |
| Patient Name | Mr. SOMNATH GHOSAL | Contact No | |
| Address | DEY STREET SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||