Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02980 | Date 14/01/2019 |
| Token No | SM/21-22/7584 08/12/2021 | Serial | 038 Last Visit: 01/06/2022 |
| Patient Name | Mr. SHANKAR GHOSH | Contact No | 7439455547 |
| Address | 31 GURUDAS BHATTCHARJEE LANE CHATRA SHITLATALA, BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||