Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10156 | Date 28/09/2021 |
| Token No | SM/21-22/5597 28/09/2021 | Serial | 029 Last Visit: 28/09/2021 |
| Patient Name | Mr. SOMNATH CHAKRABORTY | Contact No | 6290252414 |
| Address | 15,NO BROJO DUTTA LANE SERAMPORE | Age | 37 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||