Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02427 | Date 08/12/2018 |
| Token No | SM/18-19/6677 11/01/2019 | Serial | 034 Last Visit: 11/01/2019 |
| Patient Name | Mr. DEBASIS MUKHERJEE | Contact No | 9836175097 |
| Address | SOUTH BHATTCHARJEE PARA , BAIDYABATI(M) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||