Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09526 | Date 23/04/2021 |
| Token No | SM/21-22/751 23/04/2021 | Serial | 004 Last Visit: 23/04/2021 |
| Patient Name | Mr. SOMNATH MAITY | Contact No | 8981161452 |
| Address | DIARA,,HOOGHLY | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||