Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11355 | Date 28/07/2022 |
| Token No | SM/22-23/15603 11/08/2022 | Serial | 002 Last Visit: 23/05/2024 |
| Patient Name | Mr. BALAI CHAKRABORTY | Contact No | 8420154200 |
| Address | 18/A KUMIR JOLA ROAD | Age | 55 Years,10 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | 160.2 cm BMI: 18.703213 |
| Diagnosis | |||