Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02983 | Date 14/01/2019 |
| Token No | SM/19-20/22021 07/05/2020 | Serial | 009 Last Visit: 18/08/2025 |
| Patient Name | Mr. ARABINDA GHOSH | Contact No | 9874275001 |
| Address | 2 GHOSH PARA 1ST LANE CHATRA , SERAMPORE | Age | 67 Years,10 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||