Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05410 | Date 13/06/2019 |
| Token No | SM/19-20/4784 18/06/2019 | Serial | 042 Last Visit: 10/02/2025 |
| Patient Name | Mr. SUKUMAR GHOSH | Contact No | 9163679792 |
| Address | 119 CHATRA MUKHERJEE PARA , BAIDYABATI(M) | Age | 42 Years,1 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||