Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05467 | Date 18/06/2019 |
| Token No | SM/19-20/16234 06/01/2020 | Serial | 030 Last Visit: 05/03/2025 |
| Patient Name | Mr. CHANDRA NATH MUKHERJEE | Contact No | 7044731755 |
| Address | 19 KALI TALA LANE BAIDYABATIM) CHATRA SERAMPORE UTTARPARA | Age | 50 Years,2 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||