Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00360 | Date 11/08/2018 |
| Token No | SM/19-20/6973 20/07/2019 | Serial | 076 Last Visit: 17/01/2023 |
| Patient Name | Mr. SWARNENDU MUKHERJEE | Contact No | 9477061031 |
| Address | DOLTALA, CHATRA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 91 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||