Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10435 | Date 20/12/2021 |
| Token No | SM/21-22/7937 20/12/2021 | Serial | 039 Last Visit: 07/12/2022 |
| Patient Name | Mr. ASHOKE SANYAL | Contact No | 9804786440 |
| Address | 39.G G.T ROAD BAIDHYABATI | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 168 cm BMI: 20.904195 |
| Diagnosis | |||