Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11971 | Date 14/03/2023 |
| Token No | SM/22-23/20644 14/03/2023 | Serial | 019 Last Visit: 14/03/2023 |
| Patient Name | Mr. HEMANTA KUMAR MAJI | Contact No | 8617557706 |
| Address | CHATRA MUKHERJEE PARA | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||