Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10466 | Date 28/12/2021 |
| Token No | SM/21-22/9420 28/01/2022 | Serial | 037 Last Visit: 22/02/2022 |
| Patient Name | Mr. KAUSTAV MUKHERJEE | Contact No | 6295665899 |
| Address | SATGACHIYA,BARDDHAMAN | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||