Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05944 | Date 25/07/2019 |
| Token No | SM/19-20/7257 25/07/2019 | Serial | 010 Last Visit: 18/07/2024 |
| Patient Name | Mr. CHANDRANATH BANERJEE | Contact No | 9331099343 |
| Address | 26A CHAKRABORTY LANE SERAMPORE | Age | 48 Years,2 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||