Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09666 | Date 01/06/2021 |
| Token No | SM/21-22/4059 14/08/2021 | Serial | 018 Last Visit: 14/08/2021 |
| Patient Name | Mr. SOMNATH HAZRA | Contact No | 9883845385 |
| Address | BARDWAMAN | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||