Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11238 | Date 07/07/2022 |
| Token No | SM/22-23/14399 07/07/2022 | Serial | 021 Last Visit: 07/07/2022 |
| Patient Name | Mr. GOUTAMJ HALDER | Contact No | 8017603229 |
| Address | 226/81 G.T ROAD TELEPARA BAGER BAGAN BAIDYABATI(M) CHATRA | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 168.5 cm BMI: 23.245780 |
| Diagnosis | |||