Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09684 | Date 07/06/2021 |
| Token No | SM/21-22/1989 07/06/2021 | Serial | 028 Last Visit: 02/01/2024 |
| Patient Name | Mr. SHANKU NATH DAS | Contact No | 9231122010 |
| Address | 78/A TELIPARA CHATRA BAIDHYABATI | Age | 67 Years,0 Months,0 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||