Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12416 | Date 01/09/2023 |
| Token No | SM/22-23/24064 01/09/2023 | Serial | 020 Last Visit: 01/09/2023 |
| Patient Name | Mr. INDRANIL DAS | Contact No | 6291837664 |
| Address | 149/B G T ROAD CHATRA BAIDYABATI(M) | Age | 20 Years,6 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||