Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07384 | Date 21/01/2020 |
| Token No | SM/21-22/10605 08/03/2022 | Serial | 030 Last Visit: 27/09/2022 |
| Patient Name | Mr. ASHIS ASH | Contact No | 6289590167 |
| Address | TELIPARA BAGHER BAGAN,BAIDYABATI(M) | Age | 18YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 166.5 cm BMI: 16.232449 |
| Diagnosis | |||