Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00545 | Date 18/08/2018 |
| Token No | SM/21-22/4313 24/08/2021 | Serial | 002 Last Visit: 09/09/2024 |
| Patient Name | Mr. DIBOYJOTI BANERJEE | Contact No | 9330806037 |
| Address | 13/A/1 DUTTOS LANE , CHATRA | Age | 19 Years,11 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||