Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07421 | Date 27/01/2020 |
| Token No | SM/21-22/9500 01/02/2022 | Serial | 005 Last Visit: 13/03/2025 |
| Patient Name | Mr. SUBIR KUMAR BANERJEE | Contact No | 9007760541 |
| Address | 49/B CHATRA DHARMOTALA LANE SERAMPORE | Age | 66 Years,2 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||