Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00538 | Date 18/08/2018 |
| Token No | SM/18-19/618 18/08/2018 | Serial | 014 Last Visit: 19/09/2022 |
| Patient Name | Mr. SAMAR BANERJEE | Contact No | 8981843522 |
| Address | 11, CHATRA CHOWDHARY PARA | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||