Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09979 | Date 24/08/2021 |
| Token No | SM/21-22/5726 04/10/2021 | Serial | 047 Last Visit: 14/12/2021 |
| Patient Name | Mr. JOY MUKHERJEE | Contact No | 9874416597 |
| Address | 155 MUKHERJEE PARA CHATRA BAIDHYABATI | Age | 66 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||