Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06114 | Date 10/08/2019 |
| Token No | SM/19-20/8368 10/08/2019 | Serial | 089 Last Visit: 03/05/2024 |
| Patient Name | Mr. SURAJ RAM | Contact No | |
| Address | HARIJAN ROAD , BAIDYABATI(M) | Age | 25 Years,4 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||