Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10641 | Date 08/02/2022 |
| Token No | SM/21-22/9689 08/02/2022 | Serial | 045 Last Visit: 16/09/2022 |
| Patient Name | Mr. GAUTAM PAL | Contact No | 7595865838 |
| Address | 34 NO KUMOR PARA LANE SERAMPORE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | 173 cm BMI: 30.071168 |
| Diagnosis | |||