Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05568 | Date 25/06/2019 |
| Token No | SM/19-20/25092 24/08/2020 | Serial | 034 Last Visit: 26/08/2020 |
| Patient Name | Mr. RAJESH MADAN MUKHERJEE | Contact No | 9773922218 |
| Address | 4 CHATRA BAZAR ROAD SERAMPORE (M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||