Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12899 | Date 12/12/2023 |
| Token No | SM/25-26/3740 18/07/2025 | Serial | 012 Last Visit: 29/11/2025 |
| Patient Name | Mr. AYAN BANERJEE | Contact No | 8670122972 |
| Address | GOPALPUR AKUNI HOOGHLY | Age | 27 Years,6 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||