Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00351 | Date 11/08/2018 |
| Token No | SM/19-20/16712 14/01/2020 | Serial | 041 Last Visit: 14/11/2025 |
| Patient Name | Mr. SANAT BANERJEE | Contact No | 9903296339 |
| Address | 4, CHATRA CHOWDHURY PARA BYE LANE | Age | 70 Years,10 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||