Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07224 | Date 24/12/2019 |
| Token No | SM/19-20/17625 05/02/2020 | Serial | 001 Last Visit: 22/05/2020 |
| Patient Name | Mr. RABINDRANATH MUKHERJEE | Contact No | 9674664554 |
| Address | 44A CHAKRABORTY LANE SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||