Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05565 | Date 25/06/2019 |
| Token No | SM/21-22/3643 31/07/2021 | Serial | 005 Last Visit: 21/04/2025 |
| Patient Name | Mr. SAMIR MUKHERJEE | Contact No | 9903843029 |
| Address | 297 TELIPARA LANE CHATRA BAIDYABATI(M) | Age | 62 Years,3 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||