Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11603 | Date 23/09/2022 |
| Token No | SM/22-23/17220 29/09/2022 | Serial | 009 Last Visit: 29/09/2022 |
| Patient Name | Mr. KHOKAN ROY | Contact No | 8478966051 |
| Address | 164/131 DEWAN BAGAN CHATRA SHITALATALA BAIDYABATI M | Age | 63 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | 146.8 cm BMI: 16.705150 |
| Diagnosis | |||