Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03125 | Date 22/01/2019 |
| Token No | SM/21-22/334 09/04/2021 | Serial | 003 Last Visit: 31/01/2023 |
| Patient Name | Mr. BENUMADHAV CHATERJEE | Contact No | 9830388655 |
| Address | 7 AK DUTTA SARANI (CHATRA BAZAR ROAD), SERAMPORE | Age | 84 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||