Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12203 | Date 06/07/2023 |
| Token No | SM/22-23/22641 06/07/2023 | Serial | 017 Last Visit: 11/07/2023 |
| Patient Name | Mr. KOUSIK ASH | Contact No | 7596827300 |
| Address | TELIPARA BAGER BAGAN, BAIDYABATI (M) | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||