Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10577 | Date 18/01/2022 |
| Token No | SM/21-22/9392 28/01/2022 | Serial | 009 Last Visit: 13/12/2025 |
| Patient Name | Mr. SANTI KUMAR GHOSH | Contact No | 8902660696 |
| Address | 411/1,G.T ROAD MALLICK PARA | Age | 72 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||