Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10851 | Date 29/03/2022 |
| Token No | SM/21-22/11204 29/03/2022 | Serial | 063 Last Visit: 29/03/2022 |
| Patient Name | Mr. GOPAL GHOSH | Contact No | 9007663249 |
| Address | 9/A A.P. GHOSH ROAD | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 100 KG |
| Pulse Rate | / min | Height | 167.3 cm BMI: 35.727952 |
| Diagnosis | |||