Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03007 | Date 15/01/2019 |
| Token No | SM/18-19/6819 15/01/2019 | Serial | 012 Last Visit: 07/08/2024 |
| Patient Name | Mr. AMAR BANERJEE | Contact No | 9038138319 |
| Address | 1/A/1 PROF, K K M SARANI , SERAMPORE | Age | 63 Years,7 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||