Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12274 | Date 24/07/2023 |
| Token No | SM/22-23/23118 24/07/2023 | Serial | 022 Last Visit: 24/07/2023 |
| Patient Name | Mr. SUJOY GHOSH | Contact No | 8585878359 |
| Address | CHATRA SATCHASI PARA LANKAR BAGAN | Age | 29 Years,6 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||