Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01426 | Date 15/04/2020 |
| Token No | SM/22-23/8700 10/05/2023 | Serial | 028 |
| Patient Name | Mr. GOUTAM BANERJEE | Contact No | 9831538457 |
| Address | 13/53 B B GHOSH ROAD PRABASHNAGAR SERAMPORE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||