Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09664 | Date 31/05/2021 |
| Token No | SM/21-22/2784 02/07/2021 | Serial | 057 Last Visit: 11/08/2023 |
| Patient Name | Mr. PRITAM DAS | Contact No | 7047185228 |
| Address | BANIPUR, HOOGHLY | Age | 24 Years,7 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||