Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11257 | Date 12/07/2022 |
| Token No | SM/22-23/14531 12/07/2022 | Serial | 042 Last Visit: 12/07/2022 |
| Patient Name | Mr. SHYAMAL NANDY | Contact No | 9163161644 |
| Address | 19/24/2 HARISH BYE LANE BAIDYABATI(M) SHERORAPHULI | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 157.7 cm BMI: 22.919834 |
| Diagnosis | |||