Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09869 | Date 24/07/2021 |
| Token No | SM/22-23/17075 24/09/2022 | Serial | 004 Last Visit: 24/09/2022 |
| Patient Name | Mr. AYON DAS | Contact No | 8017785765 |
| Address | 6,DR. P.N MUKHERJEE STREET SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 159.4 cm BMI: 27.943559 |
| Diagnosis | |||