Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02146 | Date 27/11/2018 |
| Token No | SM/19-20/15704 21/12/2019 | Serial | 012 Last Visit: 03/07/2024 |
| Patient Name | Mr. SURYA BANERJEE | Contact No | 8334035051 |
| Address | CHATRA CHOWDHURY PARA LANE | Age | 16 Years,0 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||