Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01122 | Date 14/09/2018 |
| Token No | SM/18-19/5713 24/12/2018 | Serial | 036 Last Visit: 26/07/2021 |
| Patient Name | Mr. TARIT KANTI MUKHARJEE | Contact No | 9874724932 |
| Address | 90 CHATRA MUKHARJEE PARA, BAIDYABTI(M) | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||