Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02378 | Date 06/12/2018 |
| Token No | SM/21-22/2327 17/06/2021 | Serial | 023 Last Visit: 03/12/2025 |
| Patient Name | Mr. AMAY GHOSH | Contact No | 9051985820 |
| Address | CHATRA SHITLATALA GT ROAD,BAIDYABATI(M) | Age | 58 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||