Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11707 | Date 24/11/2022 |
| Token No | SM/22-23/18225 24/11/2022 | Serial | 034 Last Visit: 24/11/2022 |
| Patient Name | Mr. SUKUMAR GHARAI | Contact No | 9674391662 |
| Address | 97C G T ROAD MARADAN , BAIDYABATI (M) | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||