Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12339 | Date 16/08/2023 |
| Token No | SM/22-23/24210 08/09/2023 | Serial | 005 Last Visit: 04/05/2024 |
| Patient Name | Mr. RAMCHANDRA RAY | Contact No | |
| Address | CHATRA DOLTALA SERAMPORE | Age | 54 Years,4 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||