Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 11090 | Date 03/06/2022 |
| Token No | SM/22-23/13193 03/06/2022 | Serial | 020 Last Visit: 03/06/2022 |
| Patient Name | Mr. SANKAR KURI | Contact No | 8617774138 |
| Address | 31 MALIR BAGAN UTTARPARA KOTRUNG (M) | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51.5 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 18.802311 |
| Diagnosis | |||