Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 09024 | Date 04/12/2020 |
| Token No | SM/20-21/28107 04/12/2020 | Serial | 058 Last Visit: 21/11/2025 |
| Patient Name | Mr. ASHOK GHOSH | Contact No | 9830022956 |
| Address | 39/A,DAKSHIN BHATTACHARJEE PARA BAIDYABATI | Age | 62 Years,10 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||