Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04872 | Date 23/04/2019 |
| Token No | SM/19-20/19308 07/03/2020 | Serial | 054 Last Visit: 06/11/2025 |
| Patient Name | Mr. PRABIR BANERJEE | Contact No | 9836572595 |
| Address | 19/A A.P GHOSH ROAD CHATRA SERAMPORE | Age | 66 Years,10 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||