Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09698 | Date 09/06/2021 |
| Token No | SM/21-22/2074 09/06/2021 | Serial | 039 Last Visit: 21/06/2021 |
| Patient Name | Mr. SAMARJIT MANNA | Contact No | 9836997803 |
| Address | 78 NETAJI SUBHAS AVENUE SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||