Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13165 | Date 29/01/2024 |
| Token No | SM/25-26/2224 06/06/2025 | Serial | 046 Last Visit: 06/06/2025 |
| Patient Name | Mr. NABIN MUKHERJEE | Contact No | 9874879886 |
| Address | 13/14 CHATRA MUKHERJEE PARA HARI SAVA | Age | 54 Years,5 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||