Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12855 | Date 09/12/2023 |
| Token No | SM/22-23/26969 09/12/2023 | Serial | 083 Last Visit: 09/12/2023 |
| Patient Name | Mr. SAKTIPADA DAS | Contact No | |
| Address | CHATRA BAGER BAGAN | Age | 50 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||