Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08609 | Date 31/07/2020 |
| Token No | SM/19-20/24641 31/07/2020 | Serial | 014 Last Visit: 31/07/2020 |
| Patient Name | Mr. KEDAR MUKHERJEE | Contact No | 9163335087 |
| Address | 40/36 GODAR BAGAN CHATRA , BAIDYABATI(M) | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||