Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11258 | Date 12/07/2022 |
| Token No | SM/22-23/14533 12/07/2022 | Serial | 044 Last Visit: 13/01/2023 |
| Patient Name | Mr. PARITOS MUKHERJEE | Contact No | 8482098969 |
| Address | 49(70) CHATRA SHITALA TALA ROAD BAIDYABATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||