Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11613 | Date 24/09/2022 |
| Token No | SM/22-23/17074 24/09/2022 | Serial | 003 Last Visit: 24/09/2022 |
| Patient Name | Mr. SIBKINKAR MALLICK | Contact No | 9123822466 |
| Address | 6A GHOSH PARA 2ND LANE | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 162.5 cm BMI: 21.585799 |
| Diagnosis | |||