Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 14201 | Date 28/08/2024 |
| Token No | SM/24-25/36569 28/08/2024 | Serial | 036 Last Visit: 29/08/2024 |
| Patient Name | Mr. GOUTAM BANERJEE | Contact No | 6289831920 |
| Address | 26 CHATRA MUKHERJEE PARA BAIDYABATI (M) | Age | 52 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||