Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02628 | Date 21/12/2018 |
| Token No | SM/18-19/11138 25/03/2019 | Serial | 058 Last Visit: 06/01/2022 |
| Patient Name | Mr. HEMANTA MUKHERJEE | Contact No | 9874245986 |
| Address | 16 CHATRA CHOWDHURI PARA | Age | 67YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||