Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11318 | Date 22/07/2022 |
| Token No | SM/22-23/14921 22/07/2022 | Serial | 046 Last Visit: 22/07/2022 |
| Patient Name | Mr. SOMIRON PRAMANIK | Contact No | 8617439181 |
| Address | VILL+PO=DAHARKUNDU,PS-ARAMBAGH,DIST_HOOGHLY | Age | 23 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||