Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12126 | Date 02/06/2023 |
| Token No | SM/22-23/21961 02/06/2023 | Serial | 036 Last Visit: 02/06/2023 |
| Patient Name | Mr. PRINCE SHAW | Contact No | 9333716668 |
| Address | SARADA PALLY,PANAGARH RAIL,PANAGAR | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||