Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00892 | Date 04/09/2018 |
| Token No | SM/19-20/11704 14/10/2019 | Serial | 098 Last Visit: 01/02/2021 |
| Patient Name | Mr. AMITABHO GHOSH | Contact No | 9836908394 |
| Address | 1, CHAPATALA LANE CHATRA SERAMPORE | Age | 60.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||