Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11729 | Date 01/12/2022 |
| Token No | SM/22-23/18450 01/12/2022 | Serial | 016 Last Visit: 01/12/2022 |
| Patient Name | Mr. GOPAL BISWAS | Contact No | 9339737492 |
| Address | 6 JAGAMOHAN LAHIRI LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74.5 KG |
| Pulse Rate | / min | Height | 166.8 cm BMI: 26.777139 |
| Diagnosis | |||