Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04136 | Date 09/03/2019 |
| Token No | SM/20-21/28091 04/12/2020 | Serial | 042 Last Visit: 11/01/2023 |
| Patient Name | Mr. BIBHAS MUKHERJEE | Contact No | 7595812326 |
| Address | 38 N.S AVENUE SERAMPORE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||