Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11471 | Date 22/08/2022 |
| Token No | SM/22-23/15923 22/08/2022 | Serial | 033 Last Visit: 22/08/2022 |
| Patient Name | Mr. KAMALESH BANERJEE | Contact No | 9775738007 |
| Address | 43/1A, CHATRA MUKHREJEE PARA SERAMPORE BAIDYABATI(M) | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||