Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12010 | Date 31/03/2023 |
| Token No | SM/22-23/20928 31/03/2023 | Serial | 003 Last Visit: 31/03/2023 |
| Patient Name | Mr. PRADIP PAL | Contact No | 8585878322 |
| Address | 140/176 SITALA TALA ROAD, BAIDYABATI (M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | 161.6 cm BMI: 17.997623 |
| Diagnosis | |||