Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11573 | Date 15/09/2022 |
| Token No | SM/22-23/16751 15/09/2022 | Serial | 023 Last Visit: 15/09/2022 |
| Patient Name | Mr. NANTU JANA | Contact No | 7686007312 |
| Address | 16 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 167.2 cm BMI: 23.250956 |
| Diagnosis | |||