Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11209 | Date 29/06/2022 |
| Token No | SM/22-23/14139 29/06/2022 | Serial | 008 Last Visit: 29/06/2022 |
| Patient Name | Mr. SUBRATA LAHIRI | Contact No | 9013353190 |
| Address | 402 ANANDA DHRUBATARA(APARTMENT),44/B BHAGIRATI LANE | Age | 69 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 171.5 cm BMI: 22.099635 |
| Diagnosis | |||