Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10570 | Date 17/01/2022 |
| Token No | SM/21-22/9172 20/01/2022 | Serial | 031 Last Visit: 29/06/2022 |
| Patient Name | Mr. DHANANJAY BANERJEE | Contact No | 9804024645 |
| Address | 24,RAJA K.L GOSWAMI STREET SERAMPORE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||