Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04501 | Date 01/04/2019 |
| Token No | SM/22-23/27034 11/12/2023 | Serial | 038 Last Visit: 11/12/2023 |
| Patient Name | Mr. SUBHADIP DAS | Contact No | |
| Address | CHATRA | Age | 13 Years,11 Months,8 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||