Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12163 | Date 16/06/2023 |
| Token No | SM/22-23/22278 16/06/2023 | Serial | 020 Last Visit: 16/06/2023 |
| Patient Name | Mr. CHANDRA NATH GHOSAL | Contact No | 9903118595 |
| Address | 62/1 AKHIL MISTRI LANE RAJA RAM MOHAN SARANI , AMHERST STREET | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.9 KG |
| Pulse Rate | / min | Height | 177 cm BMI: 20.396438 |
| Diagnosis | |||