Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10939 | Date 20/04/2022 |
| Token No | SM/22-23/11823 20/04/2022 | Serial | 011 Last Visit: 06/05/2022 |
| Patient Name | Mr. MADHU POREL | Contact No | 9007382703 |
| Address | 17/A CHAMPATALA LANE CHATRA SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | 154.2 cm BMI: 15.140275 |
| Diagnosis | |||