Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 10451 | Date 23/12/2021 |
| Token No | SM/21-22/8031 23/12/2021 | Serial | 012 Last Visit: 23/12/2021 |
| Patient Name | Mr. BAPI SHAW | Contact No | 8768791400 |
| Address | BAIDYABATI NARSARI ROAD ADROSHONAGAR | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 17.705506 |
| Diagnosis | |||