Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08141 | Date 23/04/2020 |
| Token No | SM/22-23/21529 10/05/2023 | Serial | 050 Last Visit: 10/05/2023 |
| Patient Name | Mr. KUNTAL MODAK | Contact No | 8013821428 |
| Address | 53 A.P. GHOSH ROAD | Age | 28YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69.4 KG |
| Pulse Rate | / min | Height | 156.2 cm BMI: 28.444442 |
| Diagnosis | |||