Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05234 | Date 25/05/2019 |
| Token No | SM/19-20/8132 07/08/2019 | Serial | 075 Last Visit: 27/08/2019 |
| Patient Name | Mr. SANJIB KUMAR MUKHERJEE | Contact No | 9339966882 |
| Address | 38/P G.T ROAD CHATRA , BAIDYABATI(M) | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||