Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10540 | Date 11/01/2022 |
| Token No | SM/21-22/8810 11/01/2022 | Serial | 001 Last Visit: 11/01/2022 |
| Patient Name | Mr. PRABIR HAZRA | Contact No | 6291866720 |
| Address | 42 GT ROAD CHATRA BAIDYABATI M | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 170 cm BMI: 17.301038 |
| Diagnosis | |||