Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05671 | Date 05/07/2019 |
| Token No | SM/19-20/5905 05/07/2019 | Serial | 068 Last Visit: 04/01/2025 |
| Patient Name | Mr. PUJAN GHOSH | Contact No | 9331030338 |
| Address | 18B GHOSH PARA 1ST LANE CHATRA SERAMPORE | Age | 53 Years,0 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||