Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04353 | Date 23/03/2019 |
| Token No | SM/21-22/9369 27/01/2022 | Serial | 034 Last Visit: 25/04/2022 |
| Patient Name | Mr. SANDIPAN BANERJEE | Contact No | 9432588173 |
| Address | 10 DR, G.C GOSWAMI STREET SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 167 cm BMI: 25.099502 |
| Diagnosis | |||