Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00265 | Date 09/08/2018 |
| Token No | SM/18-19/6757 14/01/2019 | Serial | 048 Last Visit: 10/01/2022 |
| Patient Name | Mr. PRASHANTO GHOSH | Contact No | 8017231081 |
| Address | CHATRA MANA PARA | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||