Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00931 | Date 05/09/2018 |
| Token No | SM/18-19/8585 13/02/2019 | Serial | 052 Last Visit: 23/08/2025 |
| Patient Name | Mr. SUBRATA BANERJEE | Contact No | 6289522615 |
| Address | 45 N.C CHAKRABORTY LANE SERAMPORE HOOGHLY | Age | 74 Years,7 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||