Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06523 | Date 24/09/2019 |
| Token No | SM/19-20/10992 24/09/2019 | Serial | 010 Last Visit: 13/09/2024 |
| Patient Name | Mr. GOURIPRASAD BENERJEE | Contact No | 6289995964 |
| Address | 13 DHARMATALA LANE | Age | 51 Years,8 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||