Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10848 | Date 29/03/2022 |
| Token No | SM/21-22/11188 29/03/2022 | Serial | 047 Last Visit: 29/03/2022 |
| Patient Name | Mr. TANTU MIDDEY | Contact No | 9143843605 |
| Address | 131/A TELI PARA,BAGHER BAGAN,BAIDYABATI(M) | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 162.4 cm BMI: 24.645708 |
| Diagnosis | |||