Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12379 | Date 28/08/2023 |
| Token No | SM/22-23/23933 28/08/2023 | Serial | 028 Last Visit: 28/08/2023 |
| Patient Name | Mr. LOKNATH KUMHAR | Contact No | 7980360796 |
| Address | 4 L B S ROAD SERAMPORE | Age | 25 Years,9 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||