Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09472 | Date 17/04/2021 |
| Token No | SM/21-22/510 17/04/2021 | Serial | 003 Last Visit: 19/04/2025 |
| Patient Name | Mr. SANGRAM MUKHERJEE | Contact No | 8017206846 |
| Address | 4/A CHATRA BAZAR ROAD SERAMPORE | Age | 25 Years,2 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||