Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10902 | Date 08/04/2022 |
| Token No | SM/22-23/11569 08/04/2022 | Serial | 043 Last Visit: 08/04/2022 |
| Patient Name | Mr. MUKUL SEN | Contact No | |
| Address | BAGHER BAGAN ,TELI PARA,BAIDYABATI(M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 20.449137 |
| Diagnosis | |||