Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07106 | Date 07/12/2019 |
| Token No | SM/19-20/18336 18/02/2020 | Serial | 071 Last Visit: 24/08/2023 |
| Patient Name | Mr. ARITRA BANERJEE | Contact No | 7059021233 |
| Address | 32 CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 20 Years,11 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||