Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05014 | Date 04/05/2019 |
| Token No | SM/19-20/14102 27/11/2019 | Serial | 011 Last Visit: 14/11/2022 |
| Patient Name | Mr. SADANANDA BANERJEE | Contact No | 9836314363 |
| Address | 1, DR .P.N. MUKHERJEE STREET | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||