Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11608 | Date 23/09/2022 |
| Token No | SM/22-23/17647 04/11/2022 | Serial | 028 Last Visit: 04/09/2023 |
| Patient Name | Mr. DIBYOJYOTI BENERJEE | Contact No | 9330369007 |
| Address | 30/A/1 CHATRA CHOWDHURI PARA BYE LANE | Age | 39 Years,8 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | 167.5 cm BMI: 19.068835 |
| Diagnosis | |||