Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10475 | Date 30/12/2021 |
| Token No | SM/21-22/8277 30/12/2021 | Serial | 008 Last Visit: 30/12/2021 |
| Patient Name | Mr. TUSHAR KANTI DUTTA | Contact No | 9874386696 |
| Address | 2/B KHALDHAR LANE | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 166 cm BMI: 27.217303 |
| Diagnosis | |||