Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10286 | Date 17/11/2021 |
| Token No | SM/21-22/7094 24/11/2021 | Serial | 011 Last Visit: 15/05/2024 |
| Patient Name | Mr. AMAR BAG | Contact No | |
| Address | CHATRA TETUL TALA SERAMPORE | Age | 53 Years,4 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||