Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11998 | Date 22/03/2023 |
| Token No | SM/22-23/20797 22/03/2023 | Serial | 012 Last Visit: 17/04/2023 |
| Patient Name | Mr. SAMAR MUKHERJEE | Contact No | 8337039392 |
| Address | 25 NABIN CHAKRABORTY LANE CHATRA, BAIDYABATI (M) | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||