Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12287 | Date 27/07/2023 |
| Token No | SM/22-23/23201 27/07/2023 | Serial | 015 Last Visit: 27/07/2023 |
| Patient Name | Mr. JOYDEB PAL | Contact No | |
| Address | 146 G T ROAD BOWBAZAR, BAIDYABTI (M) | Age | 66 Years,9 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||