Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14740 | Date 04/01/2025 |
| Token No | SM/25-26/1406 17/05/2025 | Serial | 012 Last Visit: 23/05/2025 |
| Patient Name | Mr. NILESH MUKHERJEE | Contact No | 9874382112 |
| Address | 13/14 MUKHERJEE PARA CHATRA , BAIDYABATI (M) | Age | 22 Years,6 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||