Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11717 | Date 28/11/2022 |
| Token No | SM/22-23/18350 28/11/2022 | Serial | 037 Last Visit: 02/08/2025 |
| Patient Name | Mr. AMIT GHOSH | Contact No | 8100123395 |
| Address | 23 P N CHAKRABORTY LANE CHATRA SERAMPORE | Age | 60 Years,6 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||