Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09086 | Date 22/12/2020 |
| Token No | SM/20-21/29265 11/01/2021 | Serial | 027 Last Visit: 25/01/2021 |
| Patient Name | Mr. RAMKUMAR SENGUPTA | Contact No | 8582886190 |
| Address | 55, L B S ROAD SERAMPORE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||