Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11092 | Date 04/06/2022 |
| Token No | SM/22-23/13227 04/06/2022 | Serial | 019 Last Visit: 04/06/2022 |
| Patient Name | Mr. SWAPAN DAWAN | Contact No | |
| Address | 352/66/1/E/C, R.K ROAD SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 170.3 cm BMI: 21.377770 |
| Diagnosis | |||