Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03825 | Date 23/02/2019 |
| Token No | SM/18-19/11407 28/03/2019 | Serial | 009 Last Visit: 16/04/2019 |
| Patient Name | Mr. BAPI MUKHERJEE | Contact No | 7044731755 |
| Address | CHATRA ,KALITALA LANE | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||