Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 03228 | Date 30/01/2019 |
| Token No | SM/22-23/20671 16/03/2023 | Serial | 003 Last Visit: 16/03/2023 |
| Patient Name | Mr. PREMCHAND SHA | Contact No | 9874558881 |
| Address | 10 LBS ROAD SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 166.3 cm BMI: 22.056944 |
| Diagnosis | |||