Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09434 | Date 06/04/2021 |
| Token No | SM/22-23/15892 22/08/2022 | Serial | 002 Last Visit: 22/08/2022 |
| Patient Name | Mr. SAMIR KR. DUTTA | Contact No | 9836605787 |
| Address | 10/M, M.C LAHIRI STREET CHATRA SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 171 cm BMI: 23.938990 |
| Diagnosis | |||