Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09900 | Date 02/08/2021 |
| Token No | SM/21-22/3687 02/08/2021 | Serial | 033 Last Visit: 11/09/2021 |
| Patient Name | Mr. SOMNATH MONDAL | Contact No | 9883845385 |
| Address | 32,BARAL BAGAN LANE SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||