Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11758 | Date 10/12/2022 |
| Token No | SM/22-23/19195 24/12/2022 | Serial | 003 Last Visit: 22/07/2023 |
| Patient Name | Mr. BAREN MANNA | Contact No | 8697155962 |
| Address | 43/A DHULIPARA LANE | Age | 55 Years,6 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | 151.6 cm BMI: 23.060964 |
| Diagnosis | |||