Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02633 | Date 21/12/2018 |
| Token No | SM/22-23/23828 24/08/2023 | Serial | 004 Last Visit: 07/02/2025 |
| Patient Name | Mr. SUBHAJIT GHOSH | Contact No | 9874759311 |
| Address | 61 CHATRA GHOSH PARA 1ST LANE | Age | 26 Years,1 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||