Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08759 | Date 21/09/2020 |
| Token No | SM/21-22/3942 11/08/2021 | Serial | 005 Last Visit: 30/07/2022 |
| Patient Name | Mr. ANUTAP GHOSH | Contact No | 9903372487 |
| Address | 5 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 78 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||