Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11098 | Date 06/06/2022 |
| Token No | SM/22-23/14291 04/07/2022 | Serial | 062 Last Visit: 04/07/2022 |
| Patient Name | Mr. AMIT GHOSAL | Contact No | 9681320001 |
| Address | 12/A CHATRA MUSALMAN PARA BYE LANE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | 164.6 cm BMI: 28.420457 |
| Diagnosis | |||