Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02237 | Date 30/11/2018 |
| Token No | SM/18-19/6877 16/01/2019 | Serial | 023 Last Visit: 16/01/2019 |
| Patient Name | Mr. KINGSHOK GHOSH | Contact No | 8513982873 |
| Address | 80, K.M SAHA STREET SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||