Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09225 | Date 28/01/2021 |
| Token No | SM/20-21/29863 28/01/2021 | Serial | 042 Last Visit: 02/02/2021 |
| Patient Name | Mr. SAUMITRA BANERJEE | Contact No | 6290349974 |
| Address | 111 A P GHOSH ROAD SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||