Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04250 | Date 16/03/2019 |
| Token No | SM/18-19/10644 16/03/2019 | Serial | 026 Last Visit: 18/07/2024 |
| Patient Name | Mr. SUSHANTA MUKHERJEE | Contact No | 7998341227 |
| Address | 92/1 CHATRA CHAKRABORTY LANE , BAIDYABATI(M) | Age | 64 Years,6 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||