Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09470 | Date 16/04/2021 |
| Token No | SM/21-22/476 16/04/2021 | Serial | 026 Last Visit: 29/06/2021 |
| Patient Name | Mr. BHOLANATH MUKHERJEE | Contact No | 9051946641 |
| Address | 37 A P GHOSH ROAD,. | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||