Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06417 | Date 16/09/2019 |
| Token No | SM/19-20/10420 16/09/2019 | Serial | 021 Last Visit: 21/09/2020 |
| Patient Name | Mr. ALOKES MUKHERJEE | Contact No | 9831722058 |
| Address | 3RD FLOOR ,301 4 CHOWDHURY PARA SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||