Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04850 | Date 17/08/2023 |
| Token No | SM/24-25/28242 14/09/2024 | Serial | 002 |
| Patient Name | Mr. MRINMOY BANERJEE | Contact No | 9836905567 |
| Address | 18/C RAJA RAMMOHAN ROY SARANI SERAMPORE 712203 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||