Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10432 | Date 18/12/2021 |
| Token No | SM/21-22/7891 18/12/2021 | Serial | 017 Last Visit: 18/12/2021 |
| Patient Name | Mr. SUSANTA PAL | Contact No | 9874280714 |
| Address | 94 AP GHOSH ROAD CHATRA SERAMPORE | Age | 51 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 167 cm BMI: 25.099502 |
| Diagnosis | |||