Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10492 | Date 03/01/2022 |
| Token No | SM/21-22/8430 03/01/2022 | Serial | 068 Last Visit: 03/01/2022 |
| Patient Name | Mr. AJAY SHAW | Contact No | 8777064872 |
| Address | 205/E/F,TELIPARA BAGERBAGAN | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 33.648454 |
| Diagnosis | |||