Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04337 | Date 23/03/2019 |
| Token No | SM/19-20/16 01/04/2019 | Serial | 016 Last Visit: 01/04/2019 |
| Patient Name | Mr. SUMANTRA MUKHERJEE | Contact No | 8910285799 |
| Address | 10A VIVEKANAND LANE SERAMPORE | Age | 32 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||