Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02121 | Date 26/11/2018 |
| Token No | SM/18-19/9693 02/03/2019 | Serial | 012 Last Visit: 04/12/2021 |
| Patient Name | Mr. MONTUKLAL MUKHERJEE | Contact No | 8013406886 |
| Address | 5 N.N ROY STREET, SERAMPORE | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||