Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03728 | Date 20/02/2019 |
| Token No | SM/19-20/22103 11/05/2020 | Serial | 011 Last Visit: 13/12/2025 |
| Patient Name | Mr. KRISHANA KANTA BANERJEE | Contact No | 8902260648 |
| Address | 42 T.C GOSWAMI STREET SERAMPORE | Age | 77 Years,11 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||