Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10519 | Date 07/01/2022 |
| Token No | SM/21-22/8610 07/01/2022 | Serial | 005 Last Visit: 14/07/2023 |
| Patient Name | Mr. NILESH MALIK | Contact No | 6290970283 |
| Address | PAMPANAGAR,BAIDYABATI(M) | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||