Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02437 | Date 10/12/2018 |
| Token No | SM/19-20/8248 09/08/2019 | Serial | 055 Last Visit: 25/06/2025 |
| Patient Name | Mr. ANAMIKA BENERJEE | Contact No | 7449644549 |
| Address | 45 N C CHAKRABORTY LANE | Age | 58 Years,5 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||