Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09189 | Date 19/01/2021 |
| Token No | SM/21-22/3769 05/08/2021 | Serial | 001 Last Visit: 17/02/2025 |
| Patient Name | Mr. ASHISH KUMAR GHOSH | Contact No | 9830131273 |
| Address | 10/A/2 GIRIDHARI BHABAN DR. G. C. GOSWAMI STREET SERAMPORE | Age | 83 Years,1 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||