Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00287 | Date 09/08/2018 |
| Token No | SM/22-23/16349 05/09/2022 | Serial | 022 Last Visit: 05/09/2022 |
| Patient Name | Mr. NEPAL KARMOKAR | Contact No | 9051612168 |
| Address | 57T G T ROAD BAIDYABATI(M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||