Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10134 | Date 25/09/2021 |
| Token No | SM/21-22/5494 25/09/2021 | Serial | 033 Last Visit: 07/01/2022 |
| Patient Name | Mr. SAMARENDU MUKHERJEE | Contact No | 9830347871 |
| Address | FLAT NO 206, 4TH CHATRA CHOWDHURY PARA LANE, CHATRA, SERAMPORE | Age | 78 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||