Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07241 | Date 28/12/2019 |
| Token No | SM/19-20/15979 28/12/2019 | Serial | 017 Last Visit: 05/12/2023 |
| Patient Name | Mr. ARIJIT GHOSH | Contact No | 8584946858 |
| Address | 45A BARA BAGAN LANE SERAMPORE MALLICK PARA | Age | 47 Years,2 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||