Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07300 | Date 08/01/2020 |
| Token No | SM/21-22/8740 10/01/2022 | Serial | 022 Last Visit: 05/08/2022 |
| Patient Name | Mr. MITHU GHOSH | Contact No | 7543973209 |
| Address | 8 A.P GHOSH ROAD SERAMPORE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 25.109569 |
| Diagnosis | |||