Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11469 | Date 22/08/2022 |
| Token No | SM/22-23/15914 22/08/2022 | Serial | 024 Last Visit: 22/08/2022 |
| Patient Name | Mr. SURYA NATH GHOSH | Contact No | 9231921230 |
| Address | 12 BARIN GHOSH LANE SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 27.382006 |
| Diagnosis | |||