Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02447 | Date 10/12/2018 |
| Token No | SM/19-20/1715 26/04/2019 | Serial | 027 Last Visit: 28/01/2023 |
| Patient Name | Mr. MANSHA GHOSH | Contact No | 9051612177 |
| Address | 27 CHAKRABORTY LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||