Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09031 | Date 07/12/2020 |
| Token No | SM/21-22/3682 02/08/2021 | Serial | 028 Last Visit: 03/12/2025 |
| Patient Name | Mr. BASUDEB GHOSH | Contact No | 8017115510 |
| Address | 256,66/1/D RAMKRISHNA ROAD BAIDYABATI(M) | Age | 79 Years,11 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||