Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11308 | Date 21/07/2022 |
| Token No | SM/22-23/14844 21/07/2022 | Serial | 006 Last Visit: 09/12/2022 |
| Patient Name | Mr. JOYDIP KOLEY | Contact No | 9239344515 |
| Address | 105 DHARAPARA ROAD,DIARA | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||