Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04120 | Date 09/03/2019 |
| Token No | SM/21-22/6376 29/10/2021 | Serial | 004 Last Visit: 03/11/2021 |
| Patient Name | Mr. PALLAB KUMAR MUKHERJEE | Contact No | 9831147631 |
| Address | 10 DR, G.C GOSWAMI STREET SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||