Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06315 | Date 02/09/2019 |
| Token No | SM/19-20/9683 02/09/2019 | Serial | 078 Last Visit: 20/09/2025 |
| Patient Name | Mr. MAHADEB GHOSH | Contact No | 9874697020 |
| Address | 4/A CHATRA DHARMOTALA BYE LANE , SERAMPORE | Age | 77 Years,8 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||