Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11882 | Date 24/01/2023 |
| Token No | SM/22-23/19968 24/01/2023 | Serial | 003 Last Visit: 24/01/2023 |
| Patient Name | Mr. ARNAB DAS | Contact No | 9051985799 |
| Address | 13C CHOWDHURY PARA LANE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||