Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10564 | Date 15/01/2022 |
| Token No | SM/21-22/8966 15/01/2022 | Serial | 011 Last Visit: 06/07/2024 |
| Patient Name | Mr. SANJIB KUMAR SOM | Contact No | 9874330728 |
| Address | 124,BARUI PARA LANE CHATRA SERAMPORE | Age | 51 Years,8 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 25.109569 |
| Diagnosis | |||