Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00710 | Date 27/08/2018 |
| Token No | SM/19-20/821 12/04/2019 | Serial | 058 Last Visit: 17/01/2023 |
| Patient Name | Mr. AMRITA MOHAN BENERJEE | Contact No | 9330806037 |
| Address | 13A/1CHATRA DUTTA PARA LANE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||