Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08888 | Date 17/10/2020 |
| Token No | SM/21-22/1291 11/05/2021 | Serial | 009 Last Visit: 12/12/2024 |
| Patient Name | Mr. SUMIT DUTTA | Contact No | 6291733147 |
| Address | BARGAKHATRIYA PARA BARA BELU | Age | 29 Years,11 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||