Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02616 | Date 20/12/2018 |
| Token No | SM/21-22/8130 27/12/2021 | Serial | 022 Last Visit: 27/12/2021 |
| Patient Name | Mr. BILWAMONGAL PAL | Contact No | 9830765732 |
| Address | CHATRA TETUL TALA,BAIDYABATI (M) | Age | 40YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 166.5 cm BMI: 22.003986 |
| Diagnosis | |||