Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06549 | Date 08/04/2024 |
| Token No | SM/24-25/20611 08/04/2024 | Serial | 048 |
| Patient Name | Mr. GOUTAM BANERJEE | Contact No | 6291894954 |
| Address | 35 R B SARANI SERAMPORE 712201 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||