Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00564 | Date 20/08/2018 |
| Token No | SM/19-20/6756 18/07/2019 | Serial | 031 Last Visit: 08/01/2021 |
| Patient Name | Mr. SARNAB GHOSH | Contact No | 8582898176 |
| Address | 8 DHARMATALA BEY LANE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||