Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13355 | Date 29/02/2024 |
| Token No | SM/22-23/29710 29/02/2024 | Serial | 021 Last Visit: 04/05/2024 |
| Patient Name | Mr. PRADYOT KUMAR GHOSH | Contact No | 7980400840 |
| Address | 2 GHOSH PARA 1ST LANE CHATRA SERAMPORE | Age | 79 Years,8 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||