Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11380 | Date 03/08/2022 |
| Token No | SM/22-23/15308 03/08/2022 | Serial | 003 Last Visit: 10/08/2022 |
| Patient Name | Mr. BASANTA KUMAR DUTTA | Contact No | 7278228786 |
| Address | 48 GURU DAS BHATTACHARJEE LANE(,BAIDYABATI) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 19.289379 |
| Diagnosis | |||