Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06484 | Date 20/09/2019 |
| Token No | SM/21-22/8074 24/12/2021 | Serial | 007 Last Visit: 11/06/2022 |
| Patient Name | Mr. SK MANSUR | Contact No | 9903513087 |
| Address | 29 CHATRA A.K DUTTA SARANI SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 166.5 cm BMI: 21.282544 |
| Diagnosis | |||