Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05636 | Date 02/07/2019 |
| Token No | SM/19-20/22433 22/05/2020 | Serial | 043 Last Visit: 27/03/2025 |
| Patient Name | Mr. TAPAN GHOSH | Contact No | 9051868281 |
| Address | 24 P.N MUKHERJEE STREET SERAMPORE | Age | 44 Years,2 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||