Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10662 | Date 11/02/2022 |
| Token No | SM/21-22/9796 11/02/2022 | Serial | 018 Last Visit: 11/02/2022 |
| Patient Name | Mr. TARIT KANUNGO | Contact No | 9433910453 |
| Address | 63 THAKURDAS BABU LANE SERAMPORE | Age | 78 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 168.5 cm BMI: 23.597989 |
| Diagnosis | |||