Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11052 | Date 26/05/2022 |
| Token No | SM/22-23/12920 26/05/2022 | Serial | 026 Last Visit: 27/05/2022 |
| Patient Name | Mr. BISWANATH MANDAL | Contact No | 8697365841 |
| Address | 199/C, TELIPARA BAGER BAGAN BAIDYABATI CHATRA SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 164.6 cm BMI: 25.098586 |
| Diagnosis | |||