Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11199 | Date 27/06/2022 |
| Token No | SM/22-23/14069 27/06/2022 | Serial | 036 Last Visit: 27/06/2022 |
| Patient Name | Mr. SOUMADIP ADHIKARI | Contact No | 8240035119 |
| Address | 13/2, CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 159.4 cm BMI: 27.943559 |
| Diagnosis | |||