Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04975 | Date 30/04/2019 |
| Token No | SM/19-20/7473 29/07/2019 | Serial | 009 Last Visit: 24/11/2020 |
| Patient Name | Mr. HEMANTA MUKHERJEE | Contact No | 7044575118 |
| Address | 2 ANATH BANDHU MUKHERJEE LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||