Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02682 | Date 24/12/2018 |
| Token No | SM/19-20/5121 22/06/2019 | Serial | 082 Last Visit: 22/06/2019 |
| Patient Name | Mr. CHIRANJIB MUKHERJEE | Contact No | 8017503844 |
| Address | LAHIRI PARA CHATRA | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||