Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04120 | Date 09/03/2019 |
| Token No | SM/19-20/12843 07/11/2019 | Serial | 014 Last Visit: 03/11/2021 |
| Patient Name | Mr. PALLAB KUMAR MUKHERJEE | Contact No | 9831147631 |
| Address | 10 DR, G.C GOSWAMI STREET SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||