Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10558 | Date 14/01/2022 |
| Token No | SM/21-22/8934 14/01/2022 | Serial | 007 Last Visit: 14/01/2022 |
| Patient Name | Mr. GOUTAM BHATTACHARJEE | Contact No | 9831069827 |
| Address | 59 THAKUR DAS BABU LANE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 162.2 cm BMI: 17.104517 |
| Diagnosis | |||