Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10692 | Date 21/02/2022 |
| Token No | SM/21-22/10055 21/02/2022 | Serial | 003 Last Visit: 21/02/2022 |
| Patient Name | Mr. SAMIR DAS | Contact No | 9830096709 |
| Address | 24 BARA BAGAN LANE SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 170.9 cm BMI: 25.678943 |
| Diagnosis | |||