Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02590 | Date 19/12/2018 |
| Token No | SM/21-22/9553 02/02/2022 | Serial | 025 Last Visit: 21/05/2022 |
| Patient Name | Mr. JAYDEEP BANIK | Contact No | 9331282766 |
| Address | 13, RAY GHAT LANE SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 16.976307 |
| Diagnosis | |||