Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02067 | Date 20/11/2018 |
| Token No | SM/18-19/9735 02/03/2019 | Serial | 054 Last Visit: 01/04/2024 |
| Patient Name | Mr. BISWANATH BANERJEE | Contact No | 9836426257 |
| Address | 35A SASHI BHUSAN GHOSH LANE MAHESH | Age | 55 Years,3 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||