Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08522 | Date 10/07/2020 |
| Token No | SM/19-20/24631 31/07/2020 | Serial | 004 Last Visit: 22/08/2020 |
| Patient Name | Mr. RABISANKAR MUKHERJEE | Contact No | 8100076265 |
| Address | CHAKRABORTY BARI, AMBIKA KUNDU BYE LANE SANTRAGACHI, HOWRAH(M), JAGACHA-711104 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||