Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07070 | Date 04/12/2019 |
| Token No | SM/20-21/27384 10/11/2020 | Serial | 025 Last Visit: 28/06/2024 |
| Patient Name | Mr. SAMIR KUMAR GHOSH | Contact No | 9331445758 |
| Address | 3 DHARMOTALA BYE LANE CHATRA SERAMPORE | Age | 55 Years,5 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||