Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07376 | Date 20/01/2020 |
| Token No | SM/19-20/16931 20/01/2020 | Serial | 044 Last Visit: 20/01/2020 |
| Patient Name | Mr. SAYANTAN MUKHERJEE | Contact No | 9830240734 |
| Address | 56 CHATRA MUKHERJEE PARA SERAMPORE, BAIDYABATI(M) | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||