Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11294 | Date 19/07/2022 |
| Token No | SM/22-23/14785 19/07/2022 | Serial | 025 Last Visit: 16/12/2022 |
| Patient Name | Mr. SUBHENDU GUIN | Contact No | 9674307259 |
| Address | 63SHITALA TALA CHATRA BAIDYABATI(M) | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 163.9 cm BMI: 16.379279 |
| Diagnosis | |||