Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04853 | Date 23/04/2019 |
| Token No | SM/19-20/24467 27/07/2020 | Serial | 006 Last Visit: 09/10/2023 |
| Patient Name | Mr. SISIR MUKHERJEE | Contact No | 9339057353 |
| Address | 18A GHOSH PARA 1ST LANE CHATRA SERAMPORE | Age | 72 Years,9 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||