Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11429 | Date 13/08/2022 |
| Token No | SM/22-23/16701 14/09/2022 | Serial | 006 Last Visit: 15/11/2022 |
| Patient Name | Mr. SOUMEN DAS | Contact No | 9831105630 |
| Address | 34, DHARMTALA LANE CHATRA SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 165.5 cm BMI: 24.461259 |
| Diagnosis | |||