Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10811 | Date 16/03/2022 |
| Token No | SM/21-22/10818 16/03/2022 | Serial | 006 Last Visit: 16/03/2022 |
| Patient Name | Mr. SANJIB KUMAR DEY | Contact No | 9088831145 |
| Address | 301/I/A, TELIPARA BAGER BAGAN CHATRA SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 164.7 cm BMI: 16.957844 |
| Diagnosis | |||