Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00971 | Date 07/09/2018 |
| Token No | SM/21-22/239 07/04/2021 | Serial | 014 Last Visit: 13/06/2023 |
| Patient Name | Mr. SANKAR GHOSH | Contact No | 7003531501 |
| Address | 24 N.N RAY STREET SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||