Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13855 | Date 12/06/2024 |
| Token No | SM/24-25/36078 16/08/2024 | Serial | 028 Last Visit: 13/05/2025 |
| Patient Name | Mr. MADHAB CHANDRA GHOSH | Contact No | |
| Address | VILL-ASTAI,P.O-ABUJHATI,P.S-JAMALPUR,PURBA BARDHAMAN | Age | 59 Years,1 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||