Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08350 | Date 15/06/2020 |
| Token No | SM/19-20/23089 15/06/2020 | Serial | 011 Last Visit: 15/06/2020 |
| Patient Name | Mr. TAMOJIT BANERJEE | Contact No | 8116122944 |
| Address | 1/2A N.L GOSWAMI STREET SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||