Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12456 | Date 12/09/2023 |
| Token No | SM/22-23/24324 12/09/2023 | Serial | 007 Last Visit: 12/09/2023 |
| Patient Name | Mr. SOUVIK MALIK | Contact No | 7980556529 |
| Address | 4 BHADURI PARA LANE SERAMPORE | Age | 25 Years,6 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||