Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07378 | Date 20/01/2020 |
| Token No | SM/20-21/26563 12/10/2020 | Serial | 058 Last Visit: 17/06/2022 |
| Patient Name | Mr. TAPAN GHOSH MAZUMDAR | Contact No | 9748248672 |
| Address | 34/1 G.D BHATTACHARJEE LANE , BAIDYABATI(M) | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||