Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00686 | Date 25/08/2018 |
| Token No | SM/18-19/3544 12/11/2018 | Serial | 022 Last Visit: 13/12/2025 |
| Patient Name | Mr. MOHAN BANERJEE | Contact No | 9007324722 |
| Address | 13,CHATRA DHARMATALA | Age | 57 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 91 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||