Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10036 | Date 03/09/2021 |
| Token No | SM/21-22/4692 03/09/2021 | Serial | 012 Last Visit: 12/10/2023 |
| Patient Name | Mr. MALAY BANERJEE | Contact No | |
| Address | 16/B DHARMATALA L,ANE CHATRA SERAMPORE | Age | 75 Years,9 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||