Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02628 | Date 21/12/2018 |
| Token No | SM/21-22/8555 06/01/2022 | Serial | 006 Last Visit: 06/01/2022 |
| Patient Name | Mr. HEMANTA MUKHERJEE | Contact No | 9874245986 |
| Address | 16 CHATRA CHOWDHURI PARA | Age | 67YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | 159.2 cm BMI: 16.176990 |
| Diagnosis | |||