Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05748 | Date 13/07/2019 |
| Token No | SM/22-23/16699 14/09/2022 | Serial | 004 Last Visit: 27/09/2022 |
| Patient Name | Mr. TARAK MONDAL | Contact No | 9038547654 |
| Address | 22 CHAKRABORTY LANE, | Age | 66 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 145.3 cm BMI: 20.841139 |
| Diagnosis | |||