Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11145 | Date 17/06/2022 |
| Token No | SM/22-23/13666 17/06/2022 | Serial | 050 Last Visit: 17/06/2022 |
| Patient Name | Mr. JADAV DUTTA | Contact No | 8013777281 |
| Address | 86 SITALATALA ROAD CHATRA BAIDYABATI HOOGHLY W.B-712204 | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | 163 cm BMI: 21.265384 |
| Diagnosis | |||