Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 11205 | Date 28/06/2022 |
| Token No | SM/22-23/14104 28/06/2022 | Serial | 026 Last Visit: 28/06/2022 |
| Patient Name | Mr. NIRMAL KUMAR DAS | Contact No | 7596945584 |
| Address | 60/34 MIRPARA NURSARI ROAD BAIDYABATI | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.2 KG |
| Pulse Rate | / min | Height | 163.4 cm BMI: 23.296264 |
| Diagnosis | |||