Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02785 | Date 02/01/2019 |
| Token No | SM/21-22/1125 04/05/2021 | Serial | 018 Last Visit: 21/08/2024 |
| Patient Name | Mr. TARA PRASAD BANERJEE | Contact No | 9830434559 |
| Address | 18/1 KK MUKHERJEE SARANI | Age | 81 Years,7 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||