Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11046 | Date 25/05/2022 |
| Token No | SM/22-23/13331 08/06/2022 | Serial | 021 Last Visit: 05/07/2022 |
| Patient Name | Mr. TAPAN KUMAR DAS | Contact No | 8583023435 |
| Address | 24/A CHAKRABORTY LANE SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 173 cm BMI: 22.052190 |
| Diagnosis | |||