Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 08825 | Date 07/10/2020 |
| Token No | SM/21-22/4003 12/08/2021 | Serial | 033 Last Visit: 11/03/2022 |
| Patient Name | Mr. GOPAL CHANDRA MUKHERJEE | Contact No | 7278843416 |
| Address | 136/4 N. T. ROAD, BAIDYABATI(M) SINGUR HOOGHLY | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||