Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08291 | Date 30/05/2020 |
| Token No | SM/19-20/22594 30/05/2020 | Serial | 010 Last Visit: 30/05/2020 |
| Patient Name | Mr. SUKUMAR MUKHERJEE | Contact No | 9088680821 |
| Address | 04 CHOWDHURY PARA LANE CHATRA SERAMPORER | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||