Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02562 | Date 17/12/2018 |
| Token No | SM/22-23/17788 11/11/2022 | Serial | 001 Last Visit: 11/11/2022 |
| Patient Name | Mr. AMITABHA DHARA | Contact No | 8697639667 |
| Address | BARUIPARA, SINGUR | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 158.4 cm BMI: 20.724926 |
| Diagnosis | |||