Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00529 | Date 18/08/2018 |
| Token No | SM/18-19/4109 24/11/2018 | Serial | 039 Last Visit: 28/08/2019 |
| Patient Name | Mr. MANA MUKHERJEE | Contact No | |
| Address | N.N ROY STREET | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||