Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04472 | Date 30/03/2019 |
| Token No | SM/21-22/6691 09/11/2021 | Serial | 017 Last Visit: 03/11/2025 |
| Patient Name | Mr. DEBI PRASAD BANERJEE | Contact No | 9007293857 |
| Address | 13 CHATRA DHARMOTALA LANE SERAMPORE | Age | 61 Years,10 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||