Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04883 | Date 24/04/2019 |
| Token No | SM/19-20/17984 13/02/2020 | Serial | 003 Last Visit: 08/12/2025 |
| Patient Name | Mr. ALOK BANERJEE | Contact No | 9748381588 |
| Address | 21 CHATRA,DHARMA TALA, SERAMPORE | Age | 74 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||