Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10671 | Date 14/02/2022 |
| Token No | SM/21-22/9849 14/02/2022 | Serial | 025 Last Visit: 12/04/2022 |
| Patient Name | Mr. SUDIP CHAUDHARY | Contact No | 9330780990 |
| Address | 44/1A/CHATRA MUKHERJEE PARA ,BAIDYABATI(M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 100 KG |
| Pulse Rate | / min | Height | 169.5 cm BMI: 34.806519 |
| Diagnosis | |||