Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07588 | Date 20/02/2020 |
| Token No | SM/20-21/30664 13/03/2021 | Serial | 003 Last Visit: 13/03/2021 |
| Patient Name | Mr. DURGA SANKAR BANERJEE | Contact No | 8420812960 |
| Address | 47/1 PROF K.K MUKHERJEE SARANI CHATRA SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||