Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02444 | Date 10/12/2018 |
| Token No | SM/18-19/4989 10/12/2018 | Serial | 037 Last Visit: 14/12/2019 |
| Patient Name | Mr. SAPTARSHI MUKHERJEE | Contact No | 8478091939 |
| Address | 33 D DR. P N MUKHERJEE STREET,CHATRA | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||