Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12037 | Date 18/04/2023 |
| Token No | SM/22-23/21791 22/05/2023 | Serial | 028 Last Visit: 26/06/2023 |
| Patient Name | Mr. DILWAR MALLICK | Contact No | 9007082307 |
| Address | MAJHER PARA BANGIHATI , SIMLA SERAMPORE | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 87.96 KG |
| Pulse Rate | / min | Height | 164.5 cm BMI: 32.505243 |
| Diagnosis | |||