Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04244 | Date 16/03/2019 |
| Token No | SM/19-20/1854 29/04/2019 | Serial | 010 Last Visit: 29/04/2019 |
| Patient Name | Mr. SUKUMAR MUKHERJEE | Contact No | 9051573870 |
| Address | 10K VIVEKANAND LANE SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||