Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05526 | Date 22/06/2019 |
| Token No | SM/22-23/13024 30/05/2022 | Serial | 015 Last Visit: 30/05/2022 |
| Patient Name | Mr. TAPAS KUNDU | Contact No | 9051105781 |
| Address | 62/C, G.T ROAD MARDAN NABAGRAM ,BAIDYABATI (M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 162.6 cm BMI: 23.450419 |
| Diagnosis | |||