Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12043 | Date 20/04/2023 |
| Token No | SM/22-23/21228 20/04/2023 | Serial | 000 Last Visit: 20/04/2023 |
| Patient Name | Mr. SANJOY NAYEK | Contact No | 9874057826 |
| Address | 17/A TUSICHARAN GOSWAMI STREET | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||