Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09204 | Date 22/01/2021 |
| Token No | SM/20-21/29675 22/01/2021 | Serial | 030 Last Visit: 12/07/2022 |
| Patient Name | Mr. SOMNATH MUKHARJEE | Contact No | 7003522853 |
| Address | 3 JAGMOHAN LAHIRI LANE CHATRA SERAMPORE | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||