Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12869 | Date 09/12/2023 |
| Token No | SM/22-23/26985 09/12/2023 | Serial | 099 Last Visit: 09/12/2023 |
| Patient Name | Mr. RITA PAL | Contact No | |
| Address | SERAMPORE CHATRA | Age | 28 Years,11 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||