Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07596 | Date 20/02/2020 |
| Token No | SM/19-20/18477 20/02/2020 | Serial | 069 Last Visit: 20/02/2020 |
| Patient Name | Mr. UTTAM MUKHERJEE | Contact No | |
| Address | SARDAR PARA CHOTO BELUR, SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||