Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04353 | Date 23/03/2019 |
| Token No | SM/19-20/1011 17/04/2019 | Serial | 018 Last Visit: 25/04/2022 |
| Patient Name | Mr. SANDIPAN BANERJEE | Contact No | 9432588173 |
| Address | 10 DR, G.C GOSWAMI STREET SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||