Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06976 | Date 23/11/2019 |
| Token No | SM/19-20/14602 03/12/2019 | Serial | 085 Last Visit: 17/07/2021 |
| Patient Name | Mr. MANAB MUKHERJEE | Contact No | 9230687810 |
| Address | 13/14 CHATRA HARISABHA MUKHERJEE PARA ,BAIDYABATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||