Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02609 | Date 20/12/2018 |
| Token No | SM/20-21/28205 07/12/2020 | Serial | 049 Last Visit: 04/09/2023 |
| Patient Name | Mr. TARUN MUKHERJEE | Contact No | 9830240734 |
| Address | 63 CHATRA MUKHERJEE PARA , BAIDYABATI(M) | Age | 52 Years,8 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||