Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08891 | Date 17/10/2020 |
| Token No | SM/20-21/26787 17/10/2020 | Serial | 018 Last Visit: 28/10/2025 |
| Patient Name | Mr. ABHINANDAN GOSWAMI | Contact No | 8617019176 |
| Address | 74/ A P GHOSH ROAD SERAMPORE | Age | 44 Years,9 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||