Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05312 | Date 01/06/2019 |
| Token No | SM/21-22/6887 17/11/2021 | Serial | 014 Last Visit: 06/12/2022 |
| Patient Name | Mr. SUMIT GHOSAL | Contact No | 9051610345 |
| Address | 1 H.M GOSWAMI STREET SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||