Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10678 | Date 16/02/2022 |
| Token No | SM/21-22/9935 16/02/2022 | Serial | 021 Last Visit: 16/02/2022 |
| Patient Name | Mr. BISWAJIT SINGHAROY | Contact No | 6289441870 |
| Address | 51/33 2 HARIZIN ROAD DASPARA SERAMPORE BAIDYABATI M | Age | 33 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 23.731072 |
| Diagnosis | |||