Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00861 | Date 31/08/2018 |
| Token No | SM/19-20/4118 06/06/2019 | Serial | 094 Last Visit: 23/04/2021 |
| Patient Name | Mr. AMIT GHOSH | Contact No | 9804710491 |
| Address | 3D/3 BHADHURI PARA LANE ,SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||