Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10810 | Date 16/03/2022 |
| Token No | SM/21-22/10816 16/03/2022 | Serial | 004 Last Visit: 16/03/2022 |
| Patient Name | Mr. PAPAI DAS | Contact No | 7278888749 |
| Address | 151/C TELIPARA BAGER BAGAN CHATRA SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 170.4 cm BMI: 23.074677 |
| Diagnosis | |||