Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12690 | Date 01/11/2023 |
| Token No | SM/22-23/25816 01/11/2023 | Serial | 043 Last Visit: 01/11/2023 |
| Patient Name | Mr. BIMAL BANERJEE | Contact No | 9051108976 |
| Address | 53/1 VIVEKANANDA SARANI | Age | 82 Years,10 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||