Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06014 | Date 30/07/2019 |
| Token No | SM/19-20/10609 18/09/2019 | Serial | 030 Last Visit: 19/07/2022 |
| Patient Name | Mr. SOMENATH BANERJEE | Contact No | 8017213440 |
| Address | 46 DUTTA PARA SERAMPORE CHATRA | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 145/75 mmHg | Weight | 65 KG |
| Pulse Rate | 72 / min | Height | cm BMI: inf |
| Diagnosis | |||