Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09871 | Date 26/07/2021 |
| Token No | SM/21-22/3882 09/08/2021 | Serial | 032 Last Visit: 12/11/2025 |
| Patient Name | Mr. SHUBHAJIT GHOSH | Contact No | 9163194810 |
| Address | 18, BENIAPARA LANE SERAMPORE | Age | 29 Years,9 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||