Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00898 | Date 04/09/2018 |
| Token No | SM/18-19/6637 10/01/2019 | Serial | 064 Last Visit: 10/11/2025 |
| Patient Name | Mr. CHINMOY BANERJEE | Contact No | 7449644559 |
| Address | 45 NABIN CHAKRABORTY LANE , BAIDYABATI(M) | Age | 36 Years,10 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 100 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||