Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12518 | Date 26/09/2023 |
| Token No | SM/22-23/24678 26/09/2023 | Serial | 001 Last Visit: 26/09/2023 |
| Patient Name | Mr. AMIT ROY | Contact No | 9123015583 |
| Address | 64 DEWAN BAGAN CHATRA , BAIDYABATI(M) | Age | 24 Years,5 Months,28 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||