Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11681 | Date 17/11/2022 |
| Token No | SM/22-23/18001 17/11/2022 | Serial | 005 Last Visit: 17/11/2022 |
| Patient Name | Mr. LALIT MOHAN PAL | Contact No | 9339550550 |
| Address | 168/1 SHITALATALA ROAD BAIDYABATI (M) | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 20.264472 |
| Diagnosis | |||