Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 10932 | Date 18/04/2022 |
| Token No | SM/22-23/11767 18/04/2022 | Serial | 055 Last Visit: 18/04/2022 |
| Patient Name | Mr. MITHUN SHAW | Contact No | 7890403407 |
| Address | 1/C/1 RAI LAND ROAD SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 16.649324 |
| Diagnosis | |||