Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11676 | Date 15/11/2022 |
| Token No | SM/22-23/17930 15/11/2022 | Serial | 033 Last Visit: 15/11/2022 |
| Patient Name | Mr. BHARAT DUTTA | Contact No | |
| Address | 24 CHATRA DUTTA PARA | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||