Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10940 | Date 20/04/2022 |
| Token No | SM/22-23/11824 20/04/2022 | Serial | 012 Last Visit: 20/04/2022 |
| Patient Name | Mr. KARTICK KURMI | Contact No | 9674856388 |
| Address | 13 RABINDRA BHABAN ROAD SERAMPORE | Age | 54 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 164.5 cm BMI: 16.260012 |
| Diagnosis | |||