Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 11149 | Date 18/06/2022 |
| Token No | SM/22-23/13850 22/06/2022 | Serial | 020 Last Visit: 22/06/2022 |
| Patient Name | Mr. SOURAV CHAKRABORTY | Contact No | 7044744012 |
| Address | 11A/2, DINABANDHU CHATTERJEE LANE SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | 174.9 cm BMI: 23.864000 |
| Diagnosis | |||