Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00687 | Date 25/08/2018 |
| Token No | SM/19-20/1647 25/04/2019 | Serial | 033 Last Visit: 22/12/2025 |
| Patient Name | Mr. KALYAN KUMAR MUKHERJEE | Contact No | 9830740467 |
| Address | 37/E,CHATRA DHARMATALA | Age | 60 Years,11 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | HTN KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||