Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10980 | Date 06/05/2022 |
| Token No | SM/22-23/12227 06/05/2022 | Serial | 004 Last Visit: 13/05/2022 |
| Patient Name | Mr. SOUMIK BAG | Contact No | 8100178377 |
| Address | BAIDYABATI CHAK,NOTUN PARA,BAIDYABATI(M) | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 167.6 cm BMI: 17.444079 |
| Diagnosis | |||