Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 11850 | Date 13/01/2023 |
| Token No | SM/22-23/19872 19/01/2023 | Serial | 031 Last Visit: 19/01/2023 |
| Patient Name | Mr. BIDULATA PATTANAYAK | Contact No | 7890661758 |
| Address | SERAMPORE TALPUKUR | Age | 90 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||