Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09251 | Date 01/03/2021 |
| Token No | SM/21-22/6483 01/11/2021 | Serial | 016 Last Visit: 08/12/2021 |
| Patient Name | Mr. PRADIP MUKHERJEE | Contact No | 9830112133 |
| Address | 13/1 RAMKRISHNA ROAD BAIDYABATI M | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||