Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08648 | Date 18/08/2020 |
| Token No | SM/19-20/24967 18/08/2020 | Serial | 031 Last Visit: 24/08/2024 |
| Patient Name | Mr. BIPLAB GHOSH | Contact No | 9051099642 |
| Address | 06 GOLAPARA LANE SERAMPORE M | Age | 40 Years,1 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||