Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07714 | Date 05/03/2020 |
| Token No | SM/19-20/19136 05/03/2020 | Serial | 017 Last Visit: 05/03/2020 |
| Patient Name | Mr. PINAKI LAL MUKHARJEE | Contact No | 8981370149 |
| Address | 19 CHATRA KALI TALA LANE,BAIDYABATI(M) | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||