Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10168 | Date 01/10/2021 |
| Token No | SM/21-22/9020 17/01/2022 | Serial | 036 Last Visit: 08/06/2022 |
| Patient Name | Mr. JAYANTA DAS | Contact No | 967411566 |
| Address | 92,SATCHASHI PARA SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/100 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 18.025957 |
| Diagnosis | |||