Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11862 | Date 17/01/2023 |
| Token No | SM/22-23/19808 17/01/2023 | Serial | 044 Last Visit: 11/11/2023 |
| Patient Name | Mr. SUBHADEEP HALDER | Contact No | 9038573749 |
| Address | TELI PARA,CHATRA,BAIDYABATI(M) | Age | 30 Years,2 Months,12 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||