Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10952 | Date 23/04/2022 |
| Token No | SM/22-23/11957 23/04/2022 | Serial | 007 Last Visit: 23/04/2022 |
| Patient Name | Mr. SK. HIRA | Contact No | 8961438259 |
| Address | 23A DARJI LANE MALLICKPARA SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 163.5 cm BMI: 22.444800 |
| Diagnosis | |||