Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10824 | Date 22/03/2022 |
| Token No | SM/21-22/10945 22/03/2022 | Serial | 002 Last Visit: 22/03/2022 |
| Patient Name | Mr. MAHADEB GHOSH | Contact No | |
| Address | 4/A DHARMATALA BYE LANE | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 22.769438 |
| Diagnosis | |||