Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10738 | Date 02/03/2022 |
| Token No | SM/21-22/10371 02/03/2022 | Serial | 017 Last Visit: 02/03/2022 |
| Patient Name | Mr. SURYA DAS | Contact No | 7044354266 |
| Address | 18 RAJA K.L.GOSWAMI STREET SERAMPORE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 31.406169 |
| Diagnosis | |||