Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11832 | Date 05/01/2023 |
| Token No | SM/22-23/19498 05/01/2023 | Serial | 036 Last Visit: 05/01/2023 |
| Patient Name | Mr. BIBHASH SAMANTA | Contact No | 8282810639 |
| Address | 131 TELIPARA CHATRA BAIDYABATI (M) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||