Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02035 | Date 19/11/2018 |
| Token No | SM/18-19/3889 19/11/2018 | Serial | 056 Last Visit: 29/06/2022 |
| Patient Name | Mr. RABIN MUKHERJEE | Contact No | 8100205210 |
| Address | 62E/A GT ROAD MARADAN , BAIDYABATI(M) | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||