Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05707 | Date 10/07/2019 |
| Token No | SM/19-20/6140 10/07/2019 | Serial | 008 Last Visit: 10/07/2019 |
| Patient Name | Mr. SANJAY GHOSH | Contact No | 9874644182 |
| Address | 35K K . K. MUKHERJEE SARANI | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||