Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11780 | Date 19/12/2022 |
| Token No | SM/22-23/19135 22/12/2022 | Serial | 025 Last Visit: 03/01/2023 |
| Patient Name | Mr. ASHOK GHOSH | Contact No | 8820897616 |
| Address | 30/E RAM KRISHNA ROAD , BAIDYABATI (M) | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 161.5 cm BMI: 21.087138 |
| Diagnosis | |||