Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 12669 | Date 30/10/2023 |
| Token No | SM/22-23/25691 30/10/2023 | Serial | 017 Last Visit: 30/10/2023 |
| Patient Name | Mr. SHUKDEB SENAPATI | Contact No | 9143555982 |
| Address | 73 CHATRA MUKHERJEE PARA SERAMPORE | Age | 63 Years,4 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||