Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 02691 | Date 13/09/2022 |
| Token No | SM/22-23/17252 06/01/2024 | Serial | 003 |
| Patient Name | Mr. KALACHAND BANERJEE | Contact No | 9748768022 |
| Address | 326 G T ROAD SERAMPORE MAHESH 712203 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||