Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06014 | Date 30/07/2019 |
| Token No | SM/19-20/14378 30/11/2019 | Serial | 052 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 | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||