Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00108 | Date 04/08/2018 |
| Token No | SM/22-23/25466 17/10/2023 | Serial | 031 Last Visit: 21/03/2024 |
| Patient Name | Mr. DUTOTREYA | Contact No | |
| Address | 63, A.P GHOSH ROAD | Age | 13 Years,2 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||