Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00253 | Date 09/08/2018 |
| Token No | SM/21-22/8546 05/01/2022 | Serial | 058 Last Visit: 10/01/2022 |
| Patient Name | Mr. SAPTARSHI MUKHERJEE | Contact No | |
| Address | MAHESH SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||