Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11165 | Date 22/06/2022 |
| Token No | SM/22-23/13852 22/06/2022 | Serial | 022 Last Visit: 22/06/2022 |
| Patient Name | Mr. KULDIP BANERJEE | Contact No | 9684714171 |
| Address | HARICHARAN ROAD , BAIDYABATI (M) | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 20.820940 |
| Diagnosis | |||