Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05017 | Date 04/05/2019 |
| Token No | SM/22-23/17590 02/11/2022 | Serial | 004 Last Visit: 15/11/2022 |
| Patient Name | Mr. ARINDOM BERA | Contact No | 6290768678 |
| Address | 12 JAGA MOHAN LAHIRI LANE CHATRA SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | 173.1 cm BMI: 24.362886 |
| Diagnosis | |||