Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 11474 | Date 23/08/2022 |
| Token No | SM/22-23/15937 23/08/2022 | Serial | 003 Last Visit: 23/08/2022 |
| Patient Name | Mr. UTPAL KOLEY | Contact No | 9433656933 |
| Address | CHARABAGAN BAURI PARA,BAIDYABATI(M) | Age | 62 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 23.883211 |
| Diagnosis | |||