Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02493 | Date 12/12/2018 |
| Token No | SM/21-22/9980 18/02/2022 | Serial | 035 Last Visit: 23/05/2022 |
| Patient Name | Mr. SANDIP SANYAL | Contact No | 9163489687 |
| Address | 7/A DR. G C GOWSAMI STREET | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 172.2 cm BMI: 17.536263 |
| Diagnosis | |||