Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06153 | Date 19/08/2019 |
| Token No | SM/19-20/9096 26/08/2019 | Serial | 012 Last Visit: 09/08/2021 |
| Patient Name | Mr. SUKUMAR MUKHERJEE | Contact No | 9674770388 |
| Address | GOBINDAPUR DIARA HOOGHLY | Age | 68 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||