Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08250 | Date 12/05/2020 |
| Token No | SM/19-20/24129 15/07/2020 | Serial | 005 Last Visit: 10/06/2021 |
| Patient Name | Mr. RANJIT MUKHERJEE | Contact No | 8420818904 |
| Address | 4 CHATRA BAZAR ROAD SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||