Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03037 | Date 17/01/2019 |
| Token No | SM/18-19/6938 17/01/2019 | Serial | 018 Last Visit: 17/01/2019 |
| Patient Name | Mr. DEBABRATA MUKHERJEE | Contact No | 9836726346 |
| Address | CHATUGANG, BAIDYABATI(M) | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||