Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12104 | Date 20/05/2023 |
| Token No | SM/22-23/21757 20/05/2023 | Serial | 013 Last Visit: 20/05/2023 |
| Patient Name | Mr. SAROJ DAS | Contact No | 9339937242 |
| Address | 37/H CHATRA DHARMOTALA LANE SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.5 KG |
| Pulse Rate | / min | Height | 164.5 cm BMI: 24.574791 |
| Diagnosis | |||