Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09149 | Date 09/01/2021 |
| Token No | SM/20-21/29227 09/01/2021 | Serial | 012 Last Visit: 12/03/2025 |
| Patient Name | Mr. SOURAV MUKHERJEE | Contact No | 9088250893 |
| Address | 13/14 MUKHERJEE PARA , CHATRA , BAIDYABATI (M) | Age | 37 Years,2 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||