Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08757 | Date 19/09/2020 |
| Token No | SM/22-23/12610 18/05/2022 | Serial | 049 Last Visit: 24/01/2023 |
| Patient Name | Mr. KANCHAN BANERJEE | Contact No | 9830363524 |
| Address | A.P. GOSH ROAD | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||