Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14751 | Date 08/01/2025 |
| Token No | SM/24-25/41430 08/01/2025 | Serial | 050 Last Visit: 08/01/2025 |
| Patient Name | Mr. AMITAVA GHOSH | Contact No | 6290070335 |
| Address | 16 A P GHOSH ROAD CHATRA SERAMPORE | Age | 67 Years,0 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||