Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10415 | Date 13/12/2021 |
| Token No | SM/21-22/7735 13/12/2021 | Serial | 032 Last Visit: 13/12/2021 |
| Patient Name | Mr. DEBASISH KAYAL | Contact No | 8584889085 |
| Address | 38/D G.T ROAD BAIDHYABASTI | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 163 cm BMI: 18.442546 |
| Diagnosis | |||