Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09906 | Date 04/08/2021 |
| Token No | SM/21-22/3745 04/08/2021 | Serial | 012 Last Visit: 19/08/2023 |
| Patient Name | Mr. RABHIJIT MALIK | Contact No | 8583030088 |
| Address | JHANKARI | Age | 25 Years,1 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||