Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 10433 | Date 18/12/2021 |
| Token No | SM/21-22/8043 23/12/2021 | Serial | 024 Last Visit: 17/05/2022 |
| Patient Name | Mr. SULTAN GAZI | Contact No | 9748507037 |
| Address | 50/J KAZI PARA,BAIDYABATI(M) | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 22.062626 |
| Diagnosis | |||