Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10068 | Date 10/09/2021 |
| Token No | SM/21-22/5493 25/09/2021 | Serial | 032 Last Visit: 28/12/2024 |
| Patient Name | Mr. SUJAN GHOSH | Contact No | 9874273889 |
| Address | 2/B/1 GHOSH PARA 1 ST LANE SERAMPORE | Age | 66 Years,11 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||