Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10813 | Date 17/03/2022 |
| Token No | SM/21-22/10842 17/03/2022 | Serial | 008 Last Visit: 17/05/2022 |
| Patient Name | Mr. SOUMADIP GUHA ROY | Contact No | 7047616826 |
| Address | 35/1 RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 163 cm BMI: 22.582709 |
| Diagnosis | |||