Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09162 | Date 13/01/2021 |
| Token No | SM/20-21/29712 22/01/2021 | Serial | 067 Last Visit: 22/02/2022 |
| Patient Name | Mr. REETI PRASAD GHOSH | Contact No | 9830802657 |
| Address | 17(14) DAKSHIN BHATTACHARYA PARA,BAIDYABATI(M) | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||