Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00179 | Date 06/08/2018 |
| Token No | SM/19-20/13993 25/11/2019 | Serial | 102 Last Visit: 11/08/2023 |
| Patient Name | Mr. PRASHANTA BANERJEE | Contact No | 8515953483 |
| Address | SHEAKHALA, HOOGHLY | Age | 38 Years,7 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||