Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05988 | Date 29/07/2019 |
| Token No | SM/22-23/23216 28/07/2023 | Serial | 001 Last Visit: 28/08/2023 |
| Patient Name | Mr. MODAN MOHAN PAL | Contact No | 9874719824 |
| Address | 13/A KUMOR PARA CHATRA SERAMPORE | Age | 63 Years,7 Months,26 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.3 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 26.958821 |
| Diagnosis | |||