Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02686 | Date 27/12/2018 |
| Token No | SM/20-21/28070 04/12/2020 | Serial | 021 Last Visit: 02/07/2025 |
| Patient Name | Mr. SHYAMAL BANERJEE | Contact No | 8334035051 |
| Address | 11 CHATRA CHOWDHURY PARA, SERAMPORE | Age | 44 Years,4 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||