Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10102 | Date 20/09/2021 |
| Token No | SM/21-22/7098 24/11/2021 | Serial | 015 Last Visit: 27/06/2022 |
| Patient Name | Mr. MALAY MUKHERJEE | Contact No | |
| Address | CHATRA BAGER BAGAN BAIDHYABATI | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||