Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08564 | Date 20/07/2020 |
| Token No | SM/20-21/26308 05/10/2020 | Serial | 044 Last Visit: 05/04/2023 |
| Patient Name | Mr. AMIT BANERJEE | Contact No | 9163002090 |
| Address | 1/A/1 PROF K K M SARANI CHATRA SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||