Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12858 | Date 09/12/2023 |
| Token No | SM/22-23/26973 09/12/2023 | Serial | 087 Last Visit: 16/12/2023 |
| Patient Name | Mr. ASIM CHAKRABORTTY | Contact No | |
| Address | 131/2SHITOLA TOLA | Age | 17 Years,11 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||