Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10458 | Date 27/12/2021 |
| Token No | SM/21-22/8157 27/12/2021 | Serial | 049 Last Visit: 27/12/2021 |
| Patient Name | Mr. SUFAL DAS | Contact No | 9163582457 |
| Address | 2 SUDHIR CHANDRA ROY LANE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 20.627778 |
| Diagnosis | |||