Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10309 | Date 18/11/2021 |
| Token No | SM/21-22/6949 18/11/2021 | Serial | 036 Last Visit: 13/01/2025 |
| Patient Name | Mr. PRABIR HALDAR | Contact No | 8017671290 |
| Address | 185/B VIVEKANANDA SARANI | Age | 34 Years,0 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||