Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00076 | Date 03/08/2018 |
| Token No | SM/19-20/14769 06/12/2019 | Serial | 026 Last Visit: 21/11/2025 |
| Patient Name | Mr. SUNIRMAL MUKHERJEE | Contact No | 9433137560 |
| Address | 31, CHATRA CHOUDHRY PARA BYE LANE | Age | 68 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||