Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08482 | Date 06/07/2020 |
| Token No | SM/20-21/30181 01/03/2021 | Serial | 001 Last Visit: 01/03/2021 |
| Patient Name | Mr. PRADIP KUMAR GHOSH | Contact No | 9903296412 |
| Address | 31/A/1 CHOWDHURY PARA BYE LANE OPPSITE DOL MANDIR SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/60pain mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||