Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03748 | Date 21/02/2019 |
| Token No | SM/19-20/9635 02/09/2019 | Serial | 030 Last Visit: 29/07/2024 |
| Patient Name | Mr. SUDIP GHOSH | Contact No | 9051868281 |
| Address | 24 P.N MUKHERJEE STREET SERAMPORE | Age | 18 Years,6 Months,26 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||