Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03182 | Date 25/01/2019 |
| Token No | SM/21-22/11201 29/03/2022 | Serial | 060 Last Visit: 31/03/2022 |
| Patient Name | Mr. MALAY DAS | Contact No | 9874044846 |
| Address | 36 BHADURI PARA CHATRA SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 164.9 cm BMI: 22.800815 |
| Diagnosis | |||