Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03007 | Date 15/01/2019 |
| Token No | SM/21-22/7475 04/12/2021 | Serial | 027 Last Visit: 07/08/2024 |
| Patient Name | Mr. AMAR BANERJEE | Contact No | 9038138319 |
| Address | 1/A/1 PROF, K K M SARANI , SERAMPORE | Age | 63 Years,7 Months,5 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||