Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10522 | Date 07/01/2022 |
| Token No | SM/21-22/8886 13/01/2022 | Serial | 019 Last Visit: 13/01/2022 |
| Patient Name | Mr. SUSHANTA BELEL | Contact No | 9331511294 |
| Address | 117,SATCHASI PARA BAIDYABATI | Age | 61 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 20.312500 |
| Diagnosis | |||