Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03823 | Date 23/02/2019 |
| Token No | SM/19-20/4903 20/06/2019 | Serial | 043 Last Visit: 25/06/2019 |
| Patient Name | Mr. SOMNATH MUKHERJEE | Contact No | 26527262 |
| Address | 104 A P GHOSH ROAD,CHATRA | Age | 48 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||