Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10895 | Date 08/04/2022 |
| Token No | SM/22-23/11842 20/04/2022 | Serial | 030 Last Visit: 20/04/2022 |
| Patient Name | Mr. SAMIR DAS | Contact No | 9674667398 |
| Address | 22 P.N. CHAKRABORTY LANE SERAMPORE | Age | 37+ Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 165.4 cm BMI: 20.104426 |
| Diagnosis | |||