Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09550 | Date 29/04/2021 |
| Token No | SM/21-22/7885 18/12/2021 | Serial | 011 Last Visit: 24/01/2022 |
| Patient Name | Mr. BISWAJIT MAITY | Contact No | 9804809784 |
| Address | 75/96/D,RAMKRISHNA ROAD SERAMPORE(BAIDHYABATI) M | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 24.654832 |
| Diagnosis | |||