Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08271 | Date 19/05/2020 |
| Token No | SM/19-20/22356 19/05/2020 | Serial | 006 Last Visit: 19/05/2020 |
| Patient Name | Mr. SWAPAN GHOSH | Contact No | 6291751775 |
| Address | 15C DUTTA BAGAN LANE SERAMPORE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||