Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07602 | Date 22/02/2020 |
| Token No | SM/19-20/18925 29/02/2020 | Serial | 026 Last Visit: 18/10/2025 |
| Patient Name | Mr. RAJKUMAR GHOSH | Contact No | 9804574490 |
| Address | 6/3 P. N. CHAKRABORTY LANE CHATRA SERAMPORE | Age | 53 Years,2 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||