Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09676 | Date 04/06/2021 |
| Token No | SM/21-22/1932 04/06/2021 | Serial | 027 Last Visit: 04/06/2021 |
| Patient Name | Mr. CHANDAN MUKHERJEE | Contact No | 9836816740 |
| Address | 108,BARUI PARA 3. LAHANAGAR COLONY SHEORAPHULI | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||