Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11867 | Date 19/01/2023 |
| Token No | SM/22-23/21008 05/04/2023 | Serial | 016 Last Visit: 05/04/2023 |
| Patient Name | Mr. DEBASISH BANERJEE | Contact No | 9123855231 |
| Address | 14 JAGA MOHAN LAHIRI LANE CHATRA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.5 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 23.548525 |
| Diagnosis | |||