Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11509 | Date 01/09/2022 |
| Token No | SM/22-23/16191 01/09/2022 | Serial | 005 Last Visit: 01/09/2022 |
| Patient Name | Mr. TANMOY ADAK | Contact No | 7044496027 |
| Address | 13, DR. BAGAN LANE SERAMPORE | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | 163.1 cm BMI: 13.908933 |
| Diagnosis | |||