Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14144 | Date 08/08/2024 |
| Token No | SM/24-25/35838 08/08/2024 | Serial | 016 Last Visit: 08/08/2024 |
| Patient Name | Mr. SHYAMAL KUMAR MUKHERJEE | Contact No | 8335945692 |
| Address | 6A CHAMPATALA LANE | Age | 76 Years,9 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||