Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11570 | Date 14/09/2022 |
| Token No | SM/22-23/16716 14/09/2022 | Serial | 021 Last Visit: 19/10/2022 |
| Patient Name | Mr. KALYAN KUMAR SAHA | Contact No | 9830832179 |
| Address | 51/A/6 BARA BAGAN LANE SERAMPORE | Age | 68 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||