Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00535 | Date 18/08/2018 |
| Token No | SM/19-20/14557 03/12/2019 | Serial | 040 Last Visit: 01/02/2025 |
| Patient Name | Mr. ASHOK GHSOH | Contact No | 9830022956 |
| Address | 39/A,DAKSHIN BHATCHARHJEE PARA,BAIDYABATI(M) | Age | 63 Years,1 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||