Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06318 | Date 03/09/2019 |
| Token No | SM/19-20/9701 03/09/2019 | Serial | 012 Last Visit: 03/09/2019 |
| Patient Name | Mr. BITAN BANERJEE | Contact No | 7890184718 |
| Address | GANGATRI APARTMENT , 3 RADHIKA CHARAN CHATTERJEE LANE , UTTARPARA | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||