Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12534 | Date 29/09/2023 |
| Token No | SM/22-23/24836 29/09/2023 | Serial | 028 Last Visit: 29/11/2024 |
| Patient Name | Mr. SK SAUKAT | Contact No | 6290297393 |
| Address | 13 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 30 Years,10 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||