Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03634 | Date 18/02/2019 |
| Token No | SM/18-19/10028 07/03/2019 | Serial | 031 Last Visit: 05/11/2025 |
| Patient Name | Mr. RANJIT MUKHERJEE | Contact No | 9830297002 |
| Address | 4 CHATRA BAJAR ROAD | Age | 58 Years,10 Months,4 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||