Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04417 | Date 27/03/2019 |
| Token No | SM/18-19/11322 27/03/2019 | Serial | 026 Last Visit: 27/03/2019 |
| Patient Name | Mr. SOMDEEP MUKHERJEE | Contact No | 9674806109 |
| Address | 40 K.C MUKHERJEE STREET , BAIDYABATI(M) | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||