Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11344 | Date 27/07/2022 |
| Token No | SM/22-23/15123 28/07/2022 | Serial | 021 Last Visit: 30/07/2022 |
| Patient Name | Mr. HIMANSHU KUMAR MONDAL | Contact No | 9002590240 |
| Address | FLAT NO. 508 17/24A M. K ROAD KARUNAMOYEE APARTMENT BANSBARI ENGLISH BAZAR | Age | 66 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 169.4 cm BMI: 24.741814 |
| Diagnosis | |||