Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12119 | Date 30/05/2023 |
| Token No | SM/22-23/21907 30/05/2023 | Serial | 002 Last Visit: 30/05/2023 |
| Patient Name | Mr. SAMIRAN MANNA | Contact No | 9051865676 |
| Address | 23 CHAKRABORTY LANE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||