Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03101 | Date 21/01/2019 |
| Token No | SM/19-20/11129 26/09/2019 | Serial | 013 Last Visit: 11/03/2024 |
| Patient Name | Mr. TAPAN MUKHERJEE | Contact No | 9163920404 |
| Address | 10, M.G ROAD SERAMPORE | Age | 63 Years,2 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||