Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12535 | Date 29/09/2023 |
| Token No | SM/22-23/24848 29/09/2023 | Serial | 040 Last Visit: 29/09/2023 |
| Patient Name | Mr. KISHOR BAUL DAS | Contact No | 8536061375 |
| Address | TALANDU MALIK PARA | Age | 29 Years,8 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||