Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11221 | Date 04/07/2022 |
| Token No | SM/22-23/14260 04/07/2022 | Serial | 031 Last Visit: 04/07/2022 |
| Patient Name | Mr. PINTU SINGHA | Contact No | 9836586751 |
| Address | 18/2/A BARA BAGAN LANE SERAMPORE | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 163 cm BMI: 16.937032 |
| Diagnosis | |||